Medicaid Encounter Data System (MEDS)
Medicaid Encounter Data System (MEDS) has been designed to collect, process, store, and report on managed care service activities and prescription drug utilization for all Florida Medicaid capitated health care providers and support specific information requests that may include: service utilization trends, quality of care, access to care, cost models, targeted studies, etc. MEDS will also support the risk model computations that set capitated payments for managed health care entities as defined in the Florida Medicaid Reform contracts.
The project was mandated by HB 3B during the Florida Legislatures 2005 Special Session “B”
and is in compliance with Title XIX of the Social Security Act, the Balanced Budget Act of 1997, 42 CFR 438, Chapter 409 and 641, Florida Statutes.
Current Information
- Frequently Asked Questions, January 31, 2008
 2/1/08
- MEDS Remediation Strategy and Encounter Claims Void and Adjustment Guidelines (Incumbent Fiscal Agent – ACS)
- Ambulance Conversion to 837P
- Atypical Providers Whitepaper WEDI
- MEDS ASC/X12 EDI Transaction Encounter Claims Exception Reporting, December 4, 2007
- X12 277U Unsolicited Claim Response Supporting Florida Medicaid , July 31, 2007
- X12 277U Definitions and Corrective Action , July 31, 2007
- X12 837 Encounter Claim Submission Process, July 31, 2007
- MEDS Encounter Claim Production Submission Strategy, July 27, 2007
- Medicaid Encounter Data System Companion Guide ASC X12n Healthcare Claim Professional (837p) Institutional (837i) Dental (837d) and NCPDP January 31, 2008, Version: 4 2/1/08
- Medicaid Treating Provider Registration, September 2007
- Access to CMS NPI Website
- Crosswalk UB92 to X12 837I [834KB PDF]
- Crosswalk UB04 to X12 837I [550KB PDF]
- Crosswalk UB04 to UB92 [1.84MB PDF]
- Coordination of Benefits (COB) Documentation 2/1/08
- MEDS FTP Site Instructions
Archived Information
Email your comments and suggestions on the Medicaid Encounter Data System to:
medsteam@ahca.myflorida.com
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