Provider Enrollment is responsible for enrolling qualified providers to receive Medicaid reimbursement for services rendered to Medicaid Fee-For-Service recipients.
Provider Support provides research and technical support for Medicaid Fee-For-Service claims inquiries and processing issue resolution. For assistance contact 1-877-254-1055.
Children’s Medical Services Health Plan
Children’s Medical Services Health Plan (CMS Health Plan) is a Statewide Medicaid Managed Care (SMMC) Managed Medical Assistance (MMA) Specialty Plan for children and youth with special health care needs. This plan is offered by the Florida Department of Health who has contracted with WellCare of Florida, Inc to provide managed care services to our members. You can visit www.CMSPlanFlorida.gov to learn more.
If you are the treating physician of a child and you would like to attest to the eligibility of your patient for the CMS plan, please review the CMS Clinical Eligibility Attestation for Physicians and a list of qualifying chronic and serious conditions. Completed and signed attestations can be submitted by the physician to the Department of Health via secure email at CMS.ClinicalEligibilityScreening@flhealth.gov or via fax to 850-488-3813. Please be sure to submit all five pages of the attestation.
If physicians have questions about the CMS Clinical Eligibility Attestation, please contact a CMS plan nurse at 1-855-901-5390.
Florida Medicaid contracts with a Fiscal Agent for provider enrollment, management of the beneficiary file/records Medicaid Fee-For-Service claims processing and payment.
Florida Medicaid contracts with the following entity to perform Prior Authorization/Utilization Management services.