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Important Links
Provider Payment Provisions Page: Click Here
 
COVID-19 Provisional Provider Enrollment:
Florida Medicaid Web Portal

Alerts from AHCA:

AHCA Alerts

FLMMS Portal

COVID-19 Info for Members

COVID-19 Information for Members

CDC Information on COVID-19

Florida Department of Health Information on COVID-19

 

COVID-19 Information for Providers

Message from the CEO


On behalf of our team at Miami Children’s, we thank our providers who are working on the frontline battling the coronavirus.  The safety of our members, doctors and our community is our top priority.  We are working in partnership with the Agency for Health Care Administration and will continue to revise our policies and processes in accordance with the Agency’s direction to help reduce your administrative burdens as you care for patients. We appreciate all you are doing and are here to support you. 
 

– Adriana Day

Member Care


We are aligning communication to our members with messaging provided at the Department of Health and Center for Disease Control websites.  Our telephonic care management team continue to provide ongoing support to members through our care management program.  In addition to our regular care management activities, all members engaged in care management will be outreached in order to provide education about COVID-19 and reliable resources they can access to remain aware and current.  Members are provided information about frequent hand washing, importance of medication refills, social distancing, and the availability of our 24/7 nurseline as well as telehealth options.  We reiterate to members to call ahead before showing up at a providers’ office with symptoms. 

Below are referenced websites we are utilizing:
Florida Department of Health
Centers for Disease Control

Provider Alert System


Several Provider Alerts have been issued by The Agency for Health Care Administration with regard to COVID-19.  We are working to provide these alerts on our provider portal for your convenience. 

You may also sign up for Provider Alerts directly from AHCA and access Provider Alert archives at the following Agency link:  FLMMS Portal

Provider Alerts to Date 


The alerts below are available at the following link:
https://ahca.myflorida.com/covid-19_alerts.shtml
 
Type/Specialty Sent Date Subject
BEHAVIOR ANALYSIS 3/20/2020

Telemedicine Guidance for Behavioral Analysis Services

PARAPROFESSIONAL EARLY INTERVENTION SERVICES, PROFESSIONAL EARLY INTERVENTION SERVICES, THERAPIST (PT, OT, ST, RT) 3/20/2020 Telemedicine Guidance for Therapy Services and Early Intervention Services
HOME AND COMMUNITY BASED SERVICES WAIVER 3/20/2020 iBudget Provider Payment Flexibility
BEHAVIOR ANALYSIS 3/19/2020 Electronic Visit Verification Implementation Date Changed to June 1, 2020
ALL PROVIDER TYPES 3/19/2020 Medicaid Telemedicine Guidance for Medical and Behavioral Health Providers
ALL PROVIDER TYPES 3/17/2020 Medicaid Coverage of Services During the State of Emergency Related to COVID-19
ALL PROVIDER TYPES 3/13/2020 Update: Medicaid Coverage of Coronavirus Laboratory Testing
ALL PROVIDER TYPES 3/9/2020 Coronavirus Diagnosis Codes and Laboratory Testing
 


Provider Payment Provisions


At Miami Children's Health Plan we are updating policy and procedures to meet the State guidance and to support our providers.  Click here for more information on Miami Children's Healt'h Plans payments process.
 

Miami Children's Health Plan Contacts


Although we are limiting travel to providers’ offices and curtailing face to face member visits per AHCA guidance, we are working and available to you, your staff and your patients.  For the remainder of March and through April, we will conduct provider visits telephonically.  We understand your offices are disrupted and we will work to accommodate your schedules to conduct telephonic visits.   Please share your availability at your convenience. 

We are in frequent communication with the Agency for Health Care Administration to receive direction, provide feedback and submit questions for clarification.  Please email providerservices@miamichildrenshealthplan.com if you have questions regarding AHCA directives about COVID-19 we may be able to help answer.  You may also contact your provider relations specialist.