Transportation services are coordinated through the Care Management team 110 Athens St. suite M. Tarpon Springs, Fl 34689. Pou enfmasyon nan lt lang, tanpri chwazi lyen non plan ki apwopriye a anba a. Pour des renseignements dans une autre langue, veuillez slectionner le lien du nom du plan appropri ci-dessous. Log in to the Provider Portal to check the status of your enrollment(s). Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. Monday Friday, 8:30 a.m. 5 p.m., Eastern time, HumanaFirst Nurse Advice Line If you need help with your complaint, please call the toll-free member phone number listed on your member ID card. This means that we will offer you Medicaid services. Receiving calls and/or text messages from Aetna Better Health ofFloridathat are informational and relate to my health and benefits. Benefits How to Apply For Medicaid In Florida - Medicaid-guide.org Humana Healthy Horizons in Florida is a Medicaid product of Humana Medical Plan, Inc. We can help. For more information contact the Managed Care Plan. Florida Medicaid Office Florida UnitedHealthcare Community Plan (Medicaid (MMA) and LTC), Individual & Family ACA Marketplace Plans Disclaimer, UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan), UnitedHealthcare Connected (Medicare-Medicaid Plan), UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan), UnitedHealthcare Connected general benefit disclaimer, UnitedHealthcare Senior Care Options (HMO SNP) Plan. Or just contact us. Copyright 2022 ${plan_name}. We can help. SFLPEC-2446-21 February 2021 . On Oct. 1, 2021, our Staywell name will go away and you will become a Sunshine Health Long Term Care member. Limitations, copays and restrictions may apply. We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. Mon Fri 8am 7pm. Box addresses for paper claims . Then contact Sunshine Health at 1-844-877-8313 to update your address in our systems. Vivida Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Learn more at humana.com/HealthyFlorida. All paperwork given to the Florida Department of Families and Children with the Medicaid application should be copies and not original documents. For Arizona residents: Insured by Humana Insurance Company. Benefits, formulary, pharmacy network, premium, and/or copayments/co-insurance may change. For costs and complete details of the coverage, refer to the plan document or call or write Humana, or your Humana insurance agent or broker. (Ex: 01, 02, 20 etc.). Nothing is more important than taking care of you and your family. Monday Friday, 8:30 a.m. 5 p.m., Eastern time, Your dental plan will cover most of your dental services, but some dental services may be covered by your medical plan. 2. Individuals can also report potential inaccuracies via phone. Humana Healthy Horizons in Florida Medical Plan P.O. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. The Florida Medicaid application form requires you to give a lot of details . Knowing where and how to apply for Medicaid in Florida is important for residents who need medical benefits assistance. The benefit information provided is a brief summary, not a complete description of benefits. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Timely Filing 180 calendar days from the date of service or date of discharge (inpatient), or as specified in provider contract. Staywell Health Plan (Staywell) provides health care and long-term care services to people who qualify for Florida Medicaid. Walgreens reserves the right to discontinue the offer at its discretion. You must send the complaint within 60 days of when you found out about it. If you continue to use this site we will assume that you are happy with it. NARRATOR: As of April 1 2021, Humana Florida Medicaid will change its name to Humana Healthy Horizons in Florida. Limitations, co-payments, and restrictions may apply. Sunshine Health is a managed care plan with a Florida Medicaid contract. Box 211241 . information in the online or paper directories. Humana has contracted with the Agency for Health Care Administration (AHCA) to provide services to Medicaid beneficiaries through Humana Managed Medical Assistance (MMA) plans. . Email [email protected], 800-229-9880 (TTY: 711) If you dont have one, please contact Member Services at888-716-8787and a representative can help you find one. We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. If you have questions, find the number you need to get help and support. Humana Inc. and its subsidiaries comply with all applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. Box 30608 Humana Medical Plan Inc. is a Managed Care Plan with a Florida Medicaid Contract. Tallahassee, FL 32308. You can also mail hard copy claims or resubmissions to: Aetna Better Health of Florida PO Box 982960 El Paso, TX 79998-2960 If you dont want to leave our site, choose the X in the upper right corner to close this message. Sunshine Health Provider Portal & Resources | Sunshine Health Box 982960 Now that you know how to sign up for Medicaid, you will need to know what information and documents you will be required to give while applying. Subsequent Interim bills should be billed with bill type 117 (corrected claim) with a patient status of 30 (still a patient) OR a discharge patient status. All health plans hospice information (PDF), Hospice guidelines Medicaid and Long-Term Care services (PDF), Centers for Medicare & Medicaid Services (CMS) ICD-10 resources, Conversion tool for Diagnostic and Statistical Manual of Mental Disorders(DSM-5) to ICD-10 (PDF). Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions. In addition to writing corrected on the claim, the corrected information should be circled so that it can be identified. Your South Florida Medicare Provider - HealthSun Health Plans - Home Note: Our automated phone system may answer your call on Saturdays, Sundays and some public holidays. Molina reserves the right to conduct audits to validate compliance and pursue any overpayments as a result of non-compliance, fraud, waste, or abuse. Each bill must include all diagnoses and procedure applicable to the admission. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability. Please be aware that enrollment in Medicaid is not lifelong. This system will ask you to select the reason for your call, and we will call you back by the end of the next business day. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. Virtual visits conducted by telephone or video chat with a doctor are not an insurance product, health care provider or a health plan. UnitedHealthcare Health & Home Connection is a coordinated care management program for community-based elderly who are at risk of nursing home placement. Recipients will have to reapply for Medicaid every 12 months or another predetermined time period. For those interested in electronic claim filing, contact your EDI (Electronic Data Interchange) software vendor or the Availity Provider Support Line at 800-282-4548 to arrange transmission. You can download a copy of our Notice of Privacy Practices below. Completed and signed attestations can be submitted by the physician to the Department of Health via secure email at [email protected] or via fax to 850-488-3813. Heres the good news: a simple shot can reduce your chances of getting influenza and its available to you at no cost with your UnitedHealthcare Community Plan. To Learn More About UnitedHealthcare Community Plan. This account allows you to apply for Medicaid benefits and to check your eligibility for the program. Contact the Change Healthcare Support Team and let them know that you would like to withdraw an enrollment. Eagan, MN 55121. Through this transition, we are committed to adding more value to better serve you. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. For more information, contact the Managed Care Plan. Petersburg Field Office 525 Mirror Lake Dr. N, Suite 510 St. Petersburg, FL 33701-3219 Attn: Out-of-State Exceptional Claims Each exceptional claim request submitted must include an individual letter on the providers letterhead, explaining the request for exceptional handling. After submitting their Medicaid application, most applicants will receive information about their enrollment status in about a months time.