Member Services: 1-844-243-5187 (TTY use 711) Available 8am - 7pm Monday - Friday | Language Assistance

Miami Children's Health Plan

Florida's Family Health Plan


Miami Children’s Health Plan now offers access to healthcare for the “whole family.”

Provider Alert


IMPORTANT INFORMATION REGARDING HURRICANE DORIAN


On August 28 2019, Governor Ron DeSantis declared a state of emergency in preparation for Hurricane Dorian. As such, Miami Children’s Health Plan (MCHP) would like to offer important information to our providers.

Provider Assistance

Providers needing assistance should call MCHP’s toll-free number at (844) 243-5187 to reach a Customer Service representative.

For Behavioral Health related issues, please contact Beacon Health Options at (888) 710-2313.

For non-emergency transportation needs, please contact One Call Transportation at (877) 340-9491.

Claims Payment and Authorizations

Providers are reminded to continue to provide critical and medically necessary services to all MCHP members. In those instances where a provider and/or enrollee could not comply with pre-authorization policy requirements because of storm-related impact, MCHP will not deny medically necessary services solely on the basis of not obtaining a prior authorization for participating or non-participating providers.

Submitting Claims

In the event the provider office loses immediate or extended internet connectivity following the storm and is not able to submit claims electronically, provider can submit paper claims directly to MCHP to the address below.
Miami Children’s Health Plan
PO BOX 211241
Eagan, MN 55121

Providers without a Florida Medicaid identification number who rendered services before, during, or after the storm.


All medically necessary services provided under a state of emergency are covered regardless of provider network participation status and/or service.

MCHP requires that non-participating providers follow appropriate credentialing procedures. If a provider is not registered with Florida Medicaid, the provider must cooperate with MCHP to complete the Agency’s provisional (temporary) enrollment application and obtain a Medicaid Identification Number. The process for provisional provider enrollment is located at http://www.mymedicaid-florida.com.

Member Communication About Hurricane Dorian


Your safety and health are very important to us. Miami Children’s Health Plan wants to make sure you can get your medication refills, find a doctor or hospital, and address any questions you may have before, during, or after Hurricane Dorian.

Medication Refills:

Your pharmacy can give you medication refills even if it is not time to refill during this time. This is to ensure that you have enough medication before, during, and after Hurricane Dorian.

Medical Care:

Our goal is to make sure your care is not interrupted by Hurricane Dorian wherever possible. As such, we will not deny medically necessary services solely on the basis of not obtaining a prior authorization.

Disaster Planning:

It is important that you have a disaster plan. For information about how to make a hurricane disaster plan or where you can get information about hurricane disaster relief organizations, please go to https://www.floridadisaster.org/

Evacuation Shelter:

Members should listen to local radio and television stations providing information on shelters that are open in their county. Please remember to bring personal items, food, bedding and other items that you may need. For shelter locations in your county, please select your link below.

Indian River County
http://www.irces.com/EM/Index.htm

Okeechobee County
http://www.co.okeechobee.fl.us/departments/emergency-management/okeechobee-county-shelters-300

St. Lucie County
https://www.stlucieco.gov/departments-services/a-z/public-safety

Martin County
https://www.martin.fl.us/hurricane#main-content

Palm Beach County
http://discover.pbcgov.org/publicsafety/dem/Pages/Shelters.aspx

Dade County
https://www8.miamidade.gov/global/emergency/hurricane/home.page

Monroe County
http://www.monroecounty-fl.gov/992/Shelters

For general questions please call our member services at 1-844-243-5187 (TTY use 711)

The Medicaid Health Plan kids
and families deserve.

Serving enrollees of all ages - not just kids.
Doctors in charge of your whole family's care.
Caring customer service.
Local network of doctors, hospitals and providers in your neighborhood. You don't need to drive to Miami.

Yes.
Miami Children’s Health Plan will now serve
enrollees of all ages - not just children.


At Miami Children’s Health Plan, we care about you. We will work to create a care path for families.
This path includes strong community support, access to health and hope for a better tomorrow.

The same high quality, high touch healthcare you get from Nicklaus Children's Health System will be available to you.
A Medicaid plan focused on you is a mission near and dear to our hearts.

On behalf of our team I invite you to join us.


Miami Children’s Health Plan

Provider Network

Provider Service Network (PSN)

Sponsored by Nicklaus Children's Health System

Sponsored by
Nicklaus Children's Health System

Members of all ages.

Providing services to families
and members of all ages

South Florida is our home

Contact us, we’d like to hear from you.


Join us on this journey - we are “Florida’s Family Health Plan”.