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Provider Enrollment is comprised of three business units, the Managed Care, Facility, and Home and Community-based Services Unit, the Practitioner and Supplier Unit, and the Provider Eligibility and Compliance Unit.
Provider Enrollment. Provider Enrollment is responsible for enrolling qualified providers to receive Medicaid reimbursement for services rendered to Medicaid Fee-For-Service recipients. Florida Medicaid's Web Portal solution provides communication and self-service tools to the provider community.
In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid. The Agency successfully completed the implementation of the Statewide Medicaid Managed Care (SMMC) program in 2014. Under the SMMC program, most Medicaid recipients are enrolled in a health plan.
The Florida Medicaid Provider Enrollment Application gathers information related to the applicant’s eligibility to enroll in Florida Medicaid. Providers use this page to complete an enrollment application to become a participating provider in the Florida Medicaid program.
Becoming a Provider is a Free Process. Medicaid provider enrollment applications may be submitted at any time. Every applicant must meet all provider qualifications and requirements described in the DD iBudget Waiver Services Coverage and Limitations Handbook PRIOR to enrollment.
The Referring, Ordering, Prescribing and Attending (ROPA) online enrollment application is now available on the Florida Medicaid Web Portal on the Enrollment Application Wizard page.
Federal law requires all network health care professionals to enroll with Florida Medicaid by submitting a Florida Medicaid Provider Enrollment Application. How do I apply? Apply online at mymedicaid-florida.com .
provide guidance on the Florida Medicaid provider enrollment and maintenance processes. Florida Medicaid and APD have certain requirements for various provider types regarding the type of Medicaid number that is to be obtained and utilized to successfully submit provider claims for payment.
Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply.