Plan Name Counties served Contract Contact information required Children’s All Yes CCP Medical Deone Canady Services (CMS) 954-622-3323 Better Health Better Health Hardee, Highlands, Yes Phone: 800-514-4561 Manatee, Sarasota TDD Phone: 711 Staywell Staywell Charlotte, Collier, Yes Phone: 866-334-7927 DeSoto, Glades, TDD Phone: 877-247-6272 Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Prestige Health Choice Prestige Charlotte, Collier, Yes Phone: 855-355-9800 DeSoto, Glades, TDD Phone: 855-236-9281 Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Molina HealthCare of Florida Molina Charlotte, Collier, Yes Phone: 866-472-4585 DeSoto, Glades, TDD Phone: 800-955-8771 Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Sunshine Health Sunshine Charlotte, Collier, No Phone: 866-796-0530 DeSoto, Glades, TDD Phone: 800-955-8770 Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Amerigroup Florida Amerigroup Hardee, Highlands, Yes Phone: 800-600-4441 Manatee, Sarasota TDD Phone: 800-855-2880 Humana Medical Plan Humana Hardee, Highlands, Yes Phone: 800-477-6931 Manatee, Sarasota TDD Phone: 711 (Medicaid MMA enrollment for therapy providers, continued) Please provide the following documentation to HPC: A copy of your contract with the MMA plan. If you are unable to enroll with the MMA plan please submit a letter to HPC documenting your attempts to secure a contract with the MMA plan within 60 days of signing your contract with early steps. Please include dates, names of people with whom you have spoken, confirmation numbers if provided and the problems you have encountered when attempting to enroll. If you are unable to enroll as an early steps provider in the Managed Care Plan you must make a complaint to AHCA through the complaint web portal: https://apps.ahca.myflorida.com/smmc_cirts/ Please submit a copy of the complaint with your letter to HPC.
Plan Name Counties served Contract required Contact information Children’s Medical Services (CMS) All Yes CCP Deone Canady 954-622-3323 Better Health Hardee, Highlands, Manatee, Sarasota Yes Better Health Phone: 800-514-4561 TDD Phone: 711 Staywell Charlotte, Collier, DeSoto, Glades, Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Yes Staywell Phone: 866-334-7927 TDD Phone: 877-247-6272 Prestige Charlotte, Collier, DeSoto, Glades, Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Yes Prestige Health Choice Phone: 855-355-9800 TDD Phone: 855-236-9281 Molina Charlotte, Collier, DeSoto, Glades, Hardee, Hendry, Highlands, Lee, Manatee, Sarasota Yes Molina HealthCare of Florida Phone: 866-472-4585 TDD Phone: 800-955-8771 Sunshine Charlotte, Collier, DeSoto, Glades, Hardee, Hendry, Highlands, Lee, Manatee, Sarasota No Sunshine Health Phone: 866-796-0530 TDD Phone: 800-955-8770 Amerigroup Hardee, Highlands, Manatee, Sarasota Yes Amerigroup Florida Phone: 800-600-4441 TDD Phone: 800-855-2880 Humana Hardee, Highlands, Manatee, Sarasota Yes Humana Medical Plan Phone: 800-477-6931 TDD Phone: 711 (Medicaid MMA enrollment for therapy providers, continued) Please provide the following documentation to HPC: A copy of your contract with the MMA plan. If you are unable to enroll with the MMA plan please submit a letter to HPC documenting your attempts to secure a contract with the MMA plan within 60 days of signing your contract with early steps. Please include dates, names of people with whom you have spoken, confirmation numbers if provided and the problems you have encountered when attempting to enroll. If you are unable to enroll as an early steps provider in the Managed Care Plan you must make a complaint to AHCA through the complaint web portal: https://apps.ahca.myflorida.com/smmc_cirts/ Please submit a copy of the complaint with your letter to HPC.
5-Attachment-5-Provider-Billing-Guidelines.docx