Health Care Alerts & Provider Alerts Messages

March 2011 Provider Type(s): 67, 14
Confirm Full Medicaid Coverage

A provider must verify a recipients Medicaid eligibility status for the
date of service prior to rendering the service. Home and Community Based
Waiver Services and Assistive Care Services providers are not eligible
for reimbursement unless the recipient is eligible for a Full Medicaid
benefit plan for the date of service.

Home and Community Based Waiver Services providers and Assistive Care
Services providers must confirm full Medicaid eligibility for all
recipients every month. Medicaid reimbursements are subject to recoupment
by the Agency for any date of service a provider was paid when the
recipient was not fully Medicaid eligible.

Providers should work with the recipient and their local Department of
Children and Families ACCESS Florida Office to resolve any Medicaid
eligibility issues. Providers can access recipient eligibility
information using the Medicaid Eligibility Verification System (MEVS),
AVRS, and the provider Web portal. You may access Florida Medicaid
handbooks and contact information for your local Medicaid area office on
this Medicaid Web site: http://mymedicaid-florida.com.

LINKS

Florida Medicaid Web Portal | Florida Medicaid Health Information
Network | Florida Medicaid HIPAA Information | HIPAA Transactions &
Code Sets Standard | National Identifiers | Florida Medicaid EHR
Incentive Program | FloridaHealthFinder.gov

QUESTIONS ABOUT FLORIDA MEDICAID?

Please direct questions about Medicaid policies to your local Medicaid
area office. The Medicaid area offices addresses and phone numbers are
available on the Area Offices Web page.

ALERTS INFORMATION

The Florida Medicaid program has created an e-mail alert system to
supplement the present method of receiving Provider Alerts information
and to alert registered subscribers of "late-breaking" health care
information. An e-mail will be delivered to your mailbox when Medicaid
policy clarifications or other health care information is available that
is appropriate for your selected area and provider type.

Visit the Florida Medicaids Health Care Alerts page to subscribe now. You
may unsubscribe or update your subscription at any time by clicking on
"Manage your subscription" at the bottom of this e-mail. Other questions
regarding the e-mail alert system can be sent to the Florida Medicaid
Alerts Administrator.