AHCA Logo

Florida Medicaid Health Care Alerts - Last 90 Days

This page contains links for all Florida Medicaid Health Care Alerts sent in the last 90 days.

Date Subject of the Alert
January 8, 2020 Transition from Special Feed to Encounter data for Rate Setting Initiative: Capitated Network Provider Paid Amounts
December 18, 2019 Home and Community-Based Settings (HCBS) Rule
December 18, 2019 South Florida Community Care Network d/b/a Community Care Plan Home Health and Durable Medical Equipment Transition for MMA Members to Coastal Care Services Effective January 1, 2020
December 18, 2019 South Florida Community Care Network d/b/a Community Care Plan’s Physical, Occupational and Speech Therapy Transition to American Therapy Administrators of Florida/Health Network One (ATA/HN1) Effective January 1, 2020
December 6, 2019 Provider Action Required by January 15, 2020 Update Rendering Providers’ Contact Information
December 2, 2019 Revised: Effective December 1 -- Changes to Prenatal Related Care Services when there is Third Party Liability
November 26, 2019 Removal of Exemption Status for Prenatal Related Diagnosis Codes from the Third Party Liability (TPL) Matrix in FMMIS
November 22, 2019 New Medicaid Provider Enrollment Resources
November 21, 2019 Moratorium Extension – Behavior Analysis Provider Enrollment in Miami-Dade & Broward Counties
November 18, 2019 Rule 59G-6.010, Payment Methodology for Nursing Home Services Notice of Public Hearing
November 18, 2019 Rule 59G-6.090, Payment Methodology for County Health Departments Notice of Public Hearing
November 15, 2019 Behavior Analysis Electronic Visit Verification - Updated Instructions to Resolve Provider Contact Information
November 13, 2019 Florida HIE’s Encounter Notification Service (ENS) Webinar for Skilled Nursing Facilities (SNFs)
November 08, 2019 Claims Submitted with the Health Insurance Claim Numbers (HICNs) will deny Effective January 01, 2020
November 05, 2019 Claims Submitted with the Health Insurance Claim Numbers (HICNs) will deny Effective January 01, 2020
November 04, 2019 Behavior Analysis Services – Multidisciplinary Team and Comprehensive Diagnostic Evaluation Updates
October 30, 2019 Behavior Analysis Electronic Visit Verification - Updated Instructions to Resolve Provider Contact Information
October 25, 2019 Rule 59G-4.197, Medical Foster Care Services Notice of Hearing
October 22, 2019 Florida HIE’s Encounter Notification Service (ENS) Webinar and PROMPT Demo
October 17, 2019 Medicaid Complaint Status Tool
October 02, 2019 Update: Electronic Visit Verification (EVV) in Statewide Medicaid Managed Care
October 01, 2019 Important Upcoming Policy Change: Provider Enrollment Changes for Case Management Agency Providers
October 01, 2019 Reminder: 270 /271 Health Care Eligibility Inquiry and Response Companion Guide Updates
October 01, 2019 Reminder: 834 Benefit Enrollment and Maintenance Companion Guide Changes
September 27, 2019 Update: Electronic Visit Verification (EVV) in Statewide Medicaid Managed Care
September 23, 2019 Reminder: Nursing Facilities/Long Term Care (LTC) Submission Updates for Institutional Health Care Claim: (X12 837I) Transactions
September 18, 2019 Behavior Analysis Updates: Electronic Visit Verification and Comprehensive Diagnostic Evaluation
September 13, 2019 Simply Healthcare Plans, Inc. Pharmacy Benefits Manager (PBM) Transition to IngenioRx, Inc.
September 10, 2019 CORRECTION: Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Notice of Rule Development
September 09, 2019 Reminder: Nursing Facilities/Long Term Care (LTC) Submission Updates for Institutional Health Care Claim: (X12 837I) Transactions
September 09, 2019 Rule 59G-13.070, Developmental Disabilities Individual Budgeting Waiver Services Notice of Rule Development
September 06, 2019 UPDATE: Hurricane Dorian -- Key Medicaid Information for Fee-For-Service and Managed Care Providers
September 05, 2019 Rule 59G-4.370, Behavioral Health Intervention Services Notice of Proposed Rule Hearing
August 30, 2019 Behavior Analysis Electronic Visit Verification - Revised Instructions to Update Provider Contact Information
August 30, 2019 Hurricane Dorian -- Key Medicaid Information for Fee-For-Service and Managed Care Providers
August 28, 2019 Rule 59G-4.330, Non-Emergency Transportation Services Notice of Proposed Rule Hearing
August 26, 2019 Florida HIE's Encounter Notification Service (ENS) Webinar and PROMPT Demo
August 20, 2019 Electronic Visit Verification Date Change and other Important Actions Needed
August 20, 2019 Important Upcoming Policy Change: Provider Enrollment Form Requirements
August 14, 2019 1915(c) Familial Dysautonomia (FD) Waiver Renewal
August 14, 2019 Cost Report Submissions and Paid Claims Listings for Hospitals
August 13, 2019 RY 2021 Payment Error Rate Measurement (PERM) for Florida
August 12, 2019 Behavior Analysis Electronic Visit Verification Update
August 09, 2019 Rule 59G-4.028, Behavioral Health Assessment Services
August 09, 2019 Rule 59G-4.330, Non-Emergency Transportation Services Notice of Public Workshop
August 06, 2019 New Effective Date for the Nursing Facilities/Long Term Care (LTC) Submission Updates for Institutional Health Care Claim: (X12 837I) Transactions
August 01, 2019 Rule 59G-6.090 Payment Methodology for County Health Departments Notice of Rule Development Workshop