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

Miami Children's Health Plan is led by doctors that live and work in South Florida.

 

Provider Alert Post Hurricane Dorian


 

IMPORTANT INFORMATION REGARDING HURRICANE DORIAN

On September 6, 2019, a Florida Medicaid Health Care Alert was released relating to Hurricane Dorian.  The alert message provides guidance for Fee-for-Service and Managed Care Providers on returning to normal business operations.  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. Now that the hurricane has moved past Florida and we begin returning to normal business operations, the following flexibilities/waivers offered to providers in the alert issued on 8/30/2019 will expire at 11:59 p.m. on Sunday, September 8, 2019:

  • Waiver of prior authorization requirements for critical Medicaid services 
  • Waiver of service limitations to ensure a recipient requiring critical Medicaid services during the storm receives such care 
  • Temporary postponement of the Preadmission Screening and Resident Review processes
  • Waiver of the Medical Certification for Medicaid Long-term Care Services and Patient Transfer Form (Form 5000-3008) prior to admission to a nursing facility


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.

 


Our provider partners are what make our plan different.  We look forward to working with you to support the communities we serve together.

 

Benefits to Physicians & Providers

 
Clinical Support
  • High- quality patient data and practical, actionable physician reports and analytics
  • Local care managers and clinical performance improvement expert support
Service Focused
  • Timely and accurate claims payment
  • Clear and efficient credentialing
  • Local physician creation of policies and prior authorization lists to reduce abrasion
Local Decision Making
  • Local physician engagement in clinical decisions customized to community and patient needs
Flexible Contracting Models
  • Innovative reimbursement and incentive redesign developed with local physician input
  • Insightful and trustworthy information to manage performance