AHCA Logo

COVID-19

The Agency for Health Care Administration is working closely with the Florida Department of Health (DOH), health care providers, and stakeholders on COVID-19 prevention and response efforts, ensuring facilities across Florida are taking every precaution to ensure the health and safety of patients, residents and health care staff. The Agency is in constant communication with health care providers to share key guidance from the Centers for Disease Control and Prevention (CDC) and DOH on the importance of restricting visitors, infection control protocols, and hygiene best practices.

Click here to log into the Emergency Status System (ESS). For more information, visit ESS Resources.

For statewide information on hospital bed capacity, please visit the Agency’s Hospital Bed Capacity Dashboard.

Florida Department of Health

Facility Information

Medicaid Alerts

Category/Topic Brief Description of Changes During the State of Emergency Links to Full Document
Prior Authorization
  • Waive prior authorization requirements for hospital services (including long-term care hospitals), physician services, advanced practice registered nursing services, home health services, nursing facility services, and durable medical equipment and supplies
  • Waive prior authorization requirements for all services necessary to appropriately evaluate and treat Medicaid recipients diagnosed with COVID-19

Provider Flexibilities Alert
Health Plan Policy Transmittal 2020-15

Co-Payments
  • Waive all co-payment requirements
Provider Flexibilities Alert
Health Plan Policy Transmittal 2020-15
Exceed Service Limits/Expand Coverage
  • Exceed service limits to maintain the health and safety of recipients diagnosed with COVID-19 or when it is necessary to maintain a recipient safely in their home (inpatient, home health, etc.)
  • Add coverage of the COVID-19 lab test codes
  • Allow early refills of maintenance medication (excludes controlled substances)
  • Eliminate restrictions on the use of mail order delivery of maintenance medications
  • Allow recipients to request a 90-day supply of medications when that quantity is available at the pharmacy; recipients can also request a 90-day supply of their medications be delivered through mail order.
Provider Flexibilities Alert
Health Plan Policy Transmittal 2020-15
Telemedicine
  • Expand telemedicine/telehealth services in the fee-for-service delivery system (remote patient monitoring, store and forward) for physicians, APRNs, physician assistants
  • Expand telemedicine coverage to:
    • behavior analysis services
    • therapy services
    • specified behavioral health services
    • early intervention services
  • Additional guidance to BA providers related to telemedicine services

Medical/Behavioral Health Telemedicine Alert
Behavior Analysis Telemedicine Alert
Therapy/Early Intervention Services Telemedicine Alert
Updated: COVID-19: Telemedicine Guidance for Behavior Analysis Services

Provider Enrollment Flexibilities
  • Enact provisional enrollment to quickly enroll providers currently enrolled in Medicaid
  • Waive requirement that Medicaid providers be licensed in-state
Provider Flexibilities Alert
Health Plan Policy Transmittal 2020-15
Site Visits
  • Postpone on-site or face-to-face provider site visits (including enrollment/credentialing requirements)
Provider Flexibilities Alert
Health Plan Policy Transmittal 2020-15
Fair Hearings
  • Allow enrollees more time to request a fair hearing or health plan appeals
Provider Flexibilities Alert
Health Plan Policy Transmittal 2020-15
PASRR
  • Postpone Preadmission Screening and Resident Review (PASRR) Level I and PASRR Level II activities
Provider Flexibilities Alert
Long-Term Care and other Home and Community-Based Waiver Flexibilities
  • Expanded provider qualifications for LTC services to allow additional providers to render services when there are workforce shortages, location closures, etc.
  • Implement advanced payments (“retention payments”) for certain individual budgeting (iBudget) waiver providers - adult day training, life skills development, person supports, and residential habilitation.
  • Provides additional guidance and direction related to the iBudget provider payment flexibility process.

Health Plan Policy Transmittal 2020-15
Health Plan Policy Transmittal 2020-16
iBudget Provider Payment Relief
iBudget Provider Payment Flexibility Process

Other
  • Authorizing Prescribed Pediatric Extended Care (PPEC) centers to deliver services to Florida Medicaid recipients in the home setting
  • Waive certain electronic visit verification requirements for home health services (only)
  • Extending Medicaid recipient eligibility and extending time to complete application process

PPEC Alert
EVV Alert
Recipient Eligiblity Alert

Medicaid Frequently Asked Questions

Medicaid - Developmental Disabilities Individual Budgeting Waiver Advanced Payment Request

Providers of residential habilitation, life skills development level 1 (companion) and level 3 (adult day training), and personal supports experiencing financial hardship due to COVID-19 may submit a request for an advanced payment using the Developmental Disabilities iBudget Advanced Payment Request Form.

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services

Health Care Facility Updates

The Agency requires all licensees providing residential or inpatient services to use an approved database for reporting its emergency status, planning or operations. Log into the Emergency Status System (ESS) to update information regarding census, available beds, and all other reportable event-related information. The system serves as a monitoring tool, so if you must make a request for assistance, please contact your local Emergency Operations Center--a link is available at: https://www.floridadisaster.org/counties/. For information and user guides on gaining access to ESS, logging in, or updating your emergency status, visit this webpage: http://ahca.myflorida.com/MCHQ/Emergency_Activities/index.shtml. Please call 850-412-4462 outside normal business hours for ESS support.

ESS Resources

Assisted Living Unit

Phone: (850) 412-4304

Email: assistedliving@ahca.myflorida.com

Laboratory and In-Home Services Unit

Phone: (850) 412-4500

Email: LABSTAFF@ahca.myflorida.com

Hospital and Outpatient Services Unit

Phone: (850) 412-4549

Email: hospitals@ahca.myflorida.com

Long-Term Care Services Unit

Phone: (850) 412-4303

Email: LTCStaff@ahca.myflorida.com


Resources

Regulatory Information