Who can I contact if I have more questions? to establish the Florida Medicaid program as a statewide, integrated managed care program for all covered services, including long-term care services. Your member handbook is your go-to-guide for health services. The overpayment determination would be considered enforceable, for purposes of the bond release only, at the time of issuance of a final audit report offering administrative hearing rights. (2) The purchasing provider must provide proof of an enforceable bond in an amount equal to that which the selling provider has been reimbursed by the Medicaid program since the selling provider’s initial enrollment date. For questions related to this alert, or for assistance with provider enrollment, please call the Florida Medicaid Provider Enrollment Contact Center at 1-80, Option 4. Behavior analysis services provide a way for a person to reduce unwanted behaviors and increase desired behaviors. The Agency has hosted several public meetings to introduce proposed updates to Medicaid-covered behavior analysis services. 24-Hour Behavioral Health Crisis Line at 1-85. Florida Medicaid Member Handbook Staywell’s CAD_64835E State Approved 11102020. The Handbook of Youth Prevention Science describes current research and practice in mental health preventive interventions for youth.
It provides health care to low-income pregnant women, children, older adults and individuals who have a disability. Florida Medicaid and the SMMC Program Medicaid Program Florida Medicaid is the state and federal partnership that provides health coverage for selected categories of people in Florida with low incomes.
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COMMUNITY BEHAVIORAL HEALTH SERVICES COVERAGE AND LIMITATIONS HANDBOOK UPDATE LOG How to Use the Update Log Introduction The update log provides a history of the handbook updates. Telemedicine during the Public Health Emergency Period Behavioral Health. If the request for BA services cannot be approved because information is missing, there are inconsistencies in the record, or the request does not meet medical necessity (in whole or part), eQHealth will schedule a peer- to-peer telephonic review with the provider in lieu of an MDT meeting. Complete the Behavioral Health Fax form (PDF) Opens a new window then fax the form to 1-85. 399 0 objendobj %PDF-1.6%���� For questions related to this alert, or for assistance with provider enrollment, please call the Florida Medicaid Provider Enrollment Contact Center at 1-80, Option 4. Is a physician's order required to obtain an assessment, reassessment, or BA Services? Appendix B: Temporary Service Authorization. For further information, please reference the following FAQs: 1.
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You can also check your member handbook for copay amounts and a full list of benefits. Behavioral health care (mental and substance abuse services) Nursing facility services. Sunshine Health is a managed care plan with a Florida Medicaid contract.
You can call Member Services at 1-86 or 711 for TTY/TDD.
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