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AHCA Promotes a Cost-Effective, Transparent, and High-Quality Health Care System in 2021 [190KB PDF] December 17, 2021. Florida Agency for Health Care Administration Announces Application Period for Home and Community-Based Services Provider Funding [208KB PDF] December 14, 2021
2727 Mahan Drive. Mail Stop #8. Tallahassee, FL 32308. Phone: (850) 412-4000. Medicaid is the medical assistance program that provides access to health care for low-income families and individuals. Medicaid also assists the elderly and people with disabilities with the costs of nursing facility care and other medical and long-term care expenses.
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For questions or information, you may contact the Agency for Health Care Administration by feedback form or by phone toll-free at (888) 419-3456.
Contact Us. For questions or information, you may contact the Agency for Health Care Administration by feedback form or by phone toll-free at (888) 419-3456.
Medicaid is the medical assistance program that provides access to health care for low-income families and individuals. Medicaid also assists the elderly and people with disabilities with the costs of nursing facility care and other medical and long-term care expenses. In Florida, the Agency for Health Care Administration (Agency) ...
In 2011, the Florida Legislature created Part IV of Chapter 409, Florida Statutes, directing the Agency to create the Statewide Medicaid Managed Care (SMMC) program. The SMMC program has two key components: the Managed Medical Assistance program and the Long-term Care program.
Under the SMMC program, most Medicaid recipients are enrolled in a health plan. Nationally accredited health plans were selected through a competitive procurement for participation in the program.
The Bureau of Central Services is comprised of four units: The Background Screening Unit, The Financial Analysis Unit, The Central Intake Unit, and the Training and Support Unit. These units are responsible for the receipt and distribution of all health care facility applications and associated fees; the background screening of facility owners, administrators, and personnel; the financial analysis of health care facilities; and the data support and training within the Division of Health Quality Assurance.
Handles health care licensure, Medicare and Medicaid certification, and regulation for hospitals, ambulatory surgical centers, home health agencies, hospices, clinical laboratories, nursing homes, assisted living facilities and all other types of health care providers. The Bureau also includes the health care risk manager licensure program, the organ donor education/registry program, and commercial managed care programs, and is the location of the certificate of need (CON) program, which reviews applications for new facilities and certain specialized services at hospitals, nursing homes, hospices and intermediate care facilities for the developmentally disabled.
Children’s Medical Services Health Plan (CMS Health Plan) is a Statewide Medicaid Managed Care (SMMC) Managed Medical Assistance (MMA) Specialty Plan for children and youth with special health care needs. This plan is offered by the Florida Department of Health who has contracted with WellCare of Florida, Inc to provide managed care services to our members. You can visit www.CMSPlanFlorida.gov to learn more.
Effective for dates of service beginning July 1, 2021, service limits will be reinstated for behavioral health services. Effective Jul y 15 , 2021, Medicaid prior authorization requirements will be reinstated for behavioral health services.
COVID-19 Request for Exceptional Claims Processing for dates of service effective March 9, 2020 and ending June 30, 2021 for behavioral health services and ending July 14, 2021 for Medicaid prior authorization requirements for behavioral health services.
The Florida Department of Health is excited to offer Florida Health Connect, a secure, convenient way to manage your health and communicate directly with your clinician online. Florida Health Connect is a patient portal that is free to everyone receiving services at any local county health department. The portal allows you to more actively engage with your care team at a time that works best for you.
WIC is a federally funded nutrition program for Women, Infants, and Children. WIC provides the following at no cost: healthy foods, nutrition education and counseling, breastfeeding support, and referrals for health care. Learn More About WIC. Disability and Health Program.
Influenza can cause mild to severe illness. Serious outcomes of flu infection are hospitalization or death. Florida is currently experiencing a moderately severe influenza season.