Florida Medicaid Home Health Handbook

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Home Health Services Coverage and Limitations Handbook

Home Flrules.org Get All

1 hours agoFlorida Medicaid Provider Reimbursement Handbook, CMS-1500, which contains information about specific procedures for submitting claims for payment, and the Florida Medicaid Provider General Handbook, which describes the Florida Medicaid program. Note: The Florida Medicaid provider handbooks are available on the Medicaid fiscal agent’s Web site at

File Size: 814KB
Page Count: 104

Link: https://www.flrules.org/gateway/readRefFile.asp?refId=4598&filename=Home Health Services Coverage and Limitations Handbook_Adoption.pdf

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Florida Medicaid Home Care Office

Florida Homecareoffice.com Get All

6 hours agoFlorida Medicaid Definitions Policy August 2017 4 2.37 Disclosing Entity As defined in 42 CFR 455.101. 2.38 Disenrollment The discontinuance of an enrollee’s …

Link: https://homecareoffice.com/images/Medicaid_Home_Health_Services_Handbook_March2013.pdf

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Florida Medicaid

Florida Ahca.myflorida.com Get All

6 hours agoMedicaid. General Handbook General information for providers regarding the Florida Medicaid Program, recipient eligibility, provider enrollment, fraud and abuse policy, and important resources are included in the Florida Medicaid Provider General Handbook. This general handbook is distributed to all enrolled Medicaid providers and is

Link: https://ahca.myflorida.com/medicaid/review/Reimbursement/RH_08_080701_UB-04_ver1_3.pdf

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Florida Medicaid The Agency For Health Care Administration

Florida Ahca.myflorida.com Get All

8 hours agoMedicaid. General Handbook General information for providers regarding the Florida Medicaid Program, recipient eligibility, provider enrollment, fraud and abuse policy, and important resources is included in the Florida Medicaid Provider General Handbook. This general handbook is distributed to all enrolled Medicaid providers and is

Link: http://ahca.myflorida.com/medicaid/review/Reimbursement/RH_08_080701_CMS-1500_ver1_4.pdf

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BLANK HANDBOOK TEMPLATE 010610 Florida

BLANK Ahca.myflorida.com Get All

3 hours agoMedicaid. General Handbook General information for providers regarding the Florida Medicaid Program, recipient eligibility, provider enrollment, fraud and abuse policy, and important resources are included in the Florida Medicaid Provider General Handbook. This general handbook is distributed to all enrolled Medicaid providers and is

Link: https://ahca.myflorida.com/medicaid/review/General/59G_5020_Provider_General_REQUIREMENTS.pdf

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Medicaid Home Health Services Florida

Medicaid Ahca.myflorida.com Get All

1 hours agoMedicaid reimburses Home Health services that. Do not duplicate another provider’s service, Are medically necessary for the treatment of a specific documented medical disorder, disease or impairment, and. Are provided under the care of an attending physician. *Note: Chapter 59G-1.010 (166), Florida Administrative Code defines medically necessary.

Link: http://ahca.myflorida.com/Medicaid/home_health/services.shtml

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FLORIDA MEDICAID PROVIDER HANDBOOK

FLORIDA Docushare-web.apps.cf.humana.com Get All

7 hours agoFlorida Medicaid Provider Handbook FLHJR7VEN 9 SECTION I – HUMANA MEDICAL PLAN _____ PROGRAM DESCRIPTION _____ Florida has offered Medicaid services since 1970. Medicaid provides health care coverage for income-eligible children, seniors, disabled adults and pregnant women. It is funded by both the state and federal

Link: https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3058978

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Florida Medicaid Home Health Handbook LifeHealthy.Net

Florida Life-healthy.net Get All

875 11.3125

3 hours agoHome Health Services Coverage and Limitations Handbook. Home Flrules.org Get All . 875 11.3125 1 hours ago Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which contains information about specific procedures for submitting claims for payment, and the …

Link: https://life-healthy.net/florida-medicaid-home-health-handbook/

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Simply Healthcare Plans, Inc.’s Florida Medicaid Member

Simply Simplyhealthcareplans.com Get All

844-406-2396

4 hours agoSimply Healthcare Plans, Inc.’s Florida Medicaid Member Handbook Managed Medical Assist ance • 844-406-2396 (TTY 711) Long-T. erm Care • 877-440-3738 (TTY 711)

Link: https://www.simplyhealthcareplans.com/florida-medicaid/flfl_smpl_caidltcmemberhandbook_eng.pdf

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59G4.130 Home Health Visit Services Coverage Policy

Home Ahca.myflorida.com Get All

7 hours agoProviders must meet the qualifications specified in this policy to be reimbursed for Florida Medicaid home health visit services. 3.2 Who Can Provide Services must be rendered by providers meeting one of the following: Home health agencies licensed in accordance with section 408.810, F.S., and Rule Chapter 59A-8, F.A.C.

Link: http://ahca.myflorida.com/medicaid/review/Specific/59G-4-130_Home_Health_Visit_Services_Coverage_Policy.pdf

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Vivida Health’s Florida Medicaid Member Handbook 2021

Vivida Vividahealth.staging.tawebhost.com Get All

844-243-5131

5 hours agoVivida Health Member Handbook Questions? Call Member Services at 1-844-243-5131 (TTY: 711) Effective Jan 2021 7 Welcome to Vivida Health’s Statewide Medicaid Managed Care Plan Vivida Health has a contract with the Florida Agency for Health Care Administration (Agency) to provide health care services to people with Medicaid.

Link: https://www.vividahealth.staging.tawebhost.com/wp-content/uploads/2020/01/MEMBER_HANDBOOK_JAN_2021_V1.pdf

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2017 Medicaid Member Handbook Medicaid Health Plans

Medicaid Aetnabetterhealth.com Get All

3 hours agoAetna Better Health ® of Florida. This handbook may be available in other alternative formats such as Spanish and Braille free of charge. For more information, call our Member Services Department toll free at 1‑800‑441‑5501. Aetna Better Health of Florida (“the plan”) provides diferent types of communication for the hearing and

Link: https://www.aetnabetterhealth.com/florida/assets/pdf/member/FL MMA Handbook English.pdf

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PROVIDER HANDBOOK Florida Community Care – Health Plan

PROVIDER Fcchealthplan.com Get All

6 hours agoFlorida Medicaid and the SMMC Program Medicaid Program Florida Medicaid is the state and federal partnership that provides health coverage for selected categories of people in Florida with low incomes. Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children.

Link: https://fcchealthplan.com/wp-content/uploads/2020/04/FCC200428PNSHBK001F.pdf

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FLORIDA MEMBER HANDBOOK Home WellCare

FLORIDA Wellcare.com Get All

877-254-1055

7 hours agoFLORIDA MEMBER HANDBOOK CAD_11043E State Approved 03092018 Florida Medicaid Agency Agency for Health Care Administration Medicaid Helpline Toll-free: 1-877-254-1055 or 1-800-953-0555 (TDD: 1-866-467-4970) Agency for Health Care Administration Facilities Complaints

Link: https://www.wellcare.com/~/media/PDFs/Florida/Member/Medicaid/2018/fl_caid_member_handbook_eng_09_2018.ashx

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Florida Division

Florida Fl.eqhs.com Get All

5 hours agoMedicaid services, protect against excess payments to Medicaid providers and assess the quality of health care services. In addition to requirements in 42 C.F.R. 456, various Florida Statutes establish utilization and quality management requirements for Florida’s Medicaid services. The Florida Medicaid

Link: http://fl.eqhs.com/Portals/1/DME Provider Manual REV 10 23 12 AHCA approved.pdf

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Member Handbook Sunshine Health

Member Sunshinehealth.com Get All

866-796-0530

8 hours agoMember Handbook. This Medicaid, Comprehensive Long-Term Care and Serious Mental Illness (SMI) Member Handbook (PDF) will be your guide for all healthcare services available to you. If you have any questions, or need help making appointments, just call us at 1-866-796-0530.

Link: https://www.sunshinehealth.com/members/medicaid/resources/handbooks-forms.html

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2018 Florida Medicaid Provider Manual Home WellCare

Florida Wellcare.com Get All

866-334-7927

1 hours agoWellCare Health Plans, Inc. Florida Medicaid and Healthy Kids Provider Manual Effective September 19, 2018 Page 7 of 122 Provider Services (toll-free): 1-866-334-7927 In accordance with the policies and procedures clause of the Agreement, participating

Link: https://www.wellcare.com/~/media/PDFs/Florida/Provider/Medicaid/2018/FL_CAID_Prov_Provider_Manual_Update_ENG_10_2018.ashx

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Provider Handbook Molina Healthcare

Provider Molinahealthcare.com Get All

Just Nowinsurance that provides health coverage for eligible children, seniors, disabled adults and pregnant women. The 2011 Florida Legislature passed House Bill 7107 (creating part IV of Chapter 409, F.S.) to establish the Florida Medicaid program as a statewide, integrated managed care program for all covered services, including long-term care services.

Link: https://www.molinahealthcare.com/providers/fl/PDF/Medicaid/provider-handbook.pdf

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Florida Department of Health

Florida Floridahealth.gov Get All

1 hours agoFlorida Department of Health

Link: http://www.floridahealth.gov/programs-and-services/childrens-health/cms-plan/for-health-care-providers/_documents/CMSTXIXProvManual080718.pdf

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Medicaid HCBS Florida Health Justice Project Home

Medicaid Floridahealthjustice.org Get All

5 hours agoThis video is a summary of the Advocate’s Guide to the Florida Long-Term Care Medicaid Waiver, which is published on the Florida Health Justice Project website. Portal Resource Materials 00 min 00 sec Medicaid HCBS An overview for the purpose of the video, an outline of the general topics that will be covered, the background information for the Medicaid HCBS program and an explanation of

Link: https://www.floridahealthjustice.org/medicaid-hcbs.html

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Provider Manual

Provider Provider.simplyhealthcareplans.com Get All

386-758-1135

8 hours agoMedical Home _____ 68 has changed how some individuals receive health care from the Florida Medicaid program. Two components make up the SMMC program: • The Florida Managed Medical Assistance (MMA) and specialty program (toll free) 1-386-758-1135 (or the local health department) Women, Infants, and Children and Nutritional

Link: https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_FHKProviderManual.pdf

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MIAMI CHILDREN’S HEALTH PLAN FLORIDA MEDICAID …

MIAMI Miamichildrenshealthplan.com Get All

855-481-0505

5 hours agoMIAMI CHILDREN’S HEALTH PLAN FLORIDA MEDICAID MEMBER HANDBOOK 2020-2021 Effective 10/01/20 . DME/Home Health/Infusion Pharmacy Coastal Care Services, Inc. 1-855-481-0505 (24 hours/7 days/week) Miami Children’s Health Plan Member Handbook : Florida .

Link: https://www.miamichildrenshealthplan.com/MCHP/media/pdf/MCHP_1811367_Member_Handbook_030320.pdf

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Florida Medicaid Florida Administrative Register

Florida Flrules.org Get All

9 hours agoThis handbook is intended for use by community behavioral health services providers that render services to eligible Medicaid recipients. It must be used in conjunction with the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which contains information about specific procedures for

File Size: 449KB
Page Count: 69

Link: https://www.flrules.org/gateway/readRefFile.asp?refId=3749&filename=Community Behavioral Health Services Coverage and Limitations Handbook_Adoption.pdf

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JavaScript required home.flmmis.com

required Home.flmmis.com Get All

8 hours agoSign in with your Florida Medicaid account (use new password if you recently completed a reset).

Link: http://home.flmmis.com/home/

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Florida Medicaid Professional Opticians of Florida Home

Florida Pof.org Get All

5 hours agoMedicaid Provider Handbooks This handbook is intended for use by DME and medical supply providers that render services to eligible Medicaid recipients. It must be used in conjunction with the Florida Medicaid Provider Reimbursement Handbook, CMS-1500, which contains information about specific procedures for submitting claims for payment,

Link: https://pof.org/resources/Documents/DME_Handbook_2nd_Workshop.pdf

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Prenatal Care Florida Department of Health

Prenatal Floridahealth.gov Get All

3 hours agoIn Florida, the Department of Children and Families (DCF) determines Medicaid eligibility for prenatal care. After PEPW, Medicaid will cover you for the rest of your pregnancy. Healthy Start offers services to pregnant women, infants and children up to age three. Services include: provider referral, ongoing care coordination, and childbirth

Link: http://www.floridahealth.gov/programs-and-services/womens-health/pregnancy/prenatal-care.html

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Provider Manual Section 14.0 Provider Billing Manual

Provider Lighthousehealthplan.com Get All

2 hours agoLighthouse Health Plan Florida Medicaid Provider Manual Effective: February 1, 2020 Last Revised: March 4, 2020 Provider Manual Section 14.0 Provider Billing Manual . Table of Contents . 14.1 Claim Submission 14.2 Timely Filing Requirements 14.3 Corrected Claims and Requests for Appeal and/or Refunds 14.4 Contact Information for Claims Questions

Link: https://lighthousehealthplan.com/en/media/filer_public/47/1c/471c0ac0-9ff3-413b-9321-d976c93a829e/14_billing.pdf

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Simply Medicaid Plan benefits Simply Healthcare

Simply Simplyhealthcareplans.com Get All

855-418-1627

6 hours agoTo find an eye doctor, call iCare Health Solutions toll free at 855-418-1627 (TTY 711). Nonemergency transportation services If you need transportation to your medical appointments, you or your provider can schedule a ride for you 8 a.m. to 5 p.m. Monday through Friday at no cost.

Link: https://www.simplyhealthcareplans.com/florida-medicaid/benefits/medicaid-benefits.html

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Member Handbook Sunshine Health

Member Sunshinehealth.com Get All

3 hours agoMember Handbook. This Children's Medical Services Health Plan Florida Medicaid Member Handbook will be the guide for all healthcare services available to your child. If families have any questions, or need help making appointments, call your care manager or Member Services at us …

Link: https://www.sunshinehealth.com/members/cms/resources/handbooks-forms.html

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Humana Healthy Horizons™ in Florida Medicaid Member …

Humana Docushare-web.apps.cf.humana.com Get All

7 hours agoHumana Healthy Horizons in Florida is a Medicaid product of Humana Medical Plan, Inc. you can receive nursing facility and home and community-based services in a Long-Term Care (LTC) plan. This handbook will be your guide for all health care services available to you. You can

Link: https://docushare-web.apps.cf.humana.com/Marketing/docushare-app?file=3458754

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Florida Medicaid

Florida Apd.myflorida.com Get All

4 hours agoMedicaid Provider Handbooks This handbook must be used in conjunction with the Florida Medicaid Provider Reimbursement Handbook, CMS-1500 which contains information about specific procedures for submitting claims for payment, and the Florida Medicaid Provider General Handbook, which describes the Florida Medicaid program.

Link: https://apd.myflorida.com/ibudget/docs/iBudget Waiver Handbook June 2018.pdf

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Florida Medicaid Program Policy Manual

Florida Medicaidicp.com Get All

Just NowFlorida Medicaid Manual. The following are links to the Florida Medicaid Program Policy Manual. The portion that pertains directly to Nursing Home Medicaid are the sections denoted by MSSI (Medicaid SSI) and ICP (Institutional Care Program). SSI-Related Programs are state administered programs whose policies are based on Title XVI of the Social

Link: https://www.medicaidicp.com/content/Florida-Medicaid-Manual/

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Medicaid Documents and Forms for Florida Members Humana

Medicaid Humana.com Get All

9 hours agoTake our health risk assessment (877 KB) English, PDF opens new window. Take our health risk assessment (872 KB) Spanish, PDF opens new window. Smartphone benefit information. Humana and SafeLink wireless will provide Humana Healthy Horizons in Florida members with free cellphone service and a smartphone to call your family, friends, and doctors.

Link: https://www.humana.com/medicaid/florida-medicaid/member-support/documents-forms

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Florida Medicaid Medical Insurance Coverage from Humana

Florida Humana.com Get All

4 hours agoLearn more about disease management in your Member Handbook, PDF opens new window. Plus more! We want to help you get the most out of your plan. We are here to support your journey to good health with extra programs and services. Expanded health and wellness benefits. Art therapy and pet therapy; Free smartphone from Humana and SafeLink Wireless.

Link: https://www.humana.com/medicaid/florida-medicaid/coverage/medicaid-medical

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Molina Healthcare of Florida

Molina Molinahealthcare.com Get All

(866) 472-4585

5 hours agoFor Medicaid: If you have difficulty in reading or understanding this information, please contact Molina Healthcare Member Services toll free at (866) 472-4585, TTY at 711 for help. This information can be provided orally in English, or in your primary language.

Link: https://www.molinahealthcare.com/members/fl/en-US/Pages/home.aspx

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Provider Directory Region 6 Florida Department of Health

Provider Floridahealth.gov Get All

Just Nowour network of health care providers to improve access to quality health care services for our members. Since our providers may change over time, you may get the most recent listing of Florida CMS Center of Ped-I-Care at 1-866Plan-376 providers by ca-2456 and the TTY phone number of 1lling the toll-free Customer Service -800-955-

Link: http://www.floridahealth.gov/programs-and-services/childrens-health/cms-plan/SEARCH-PROVIDERS/_documents/ProvDirReg6.pdf

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Florida UnitedHealthcare Community Plan Medicaid (MMA

Florida Uhccommunityplan.com Get All

844-446-2151

9 hours agoTo Learn More About UnitedHealthcare Community Plan. Call Us. 24 hours a day, 7 days a week. MMA: 1-844-446-2151 LTC: 1-844-445-7229 TTY: 711 Are you elgible for Florida Medicaid

Link: https://www.uhccommunityplan.com/fl/medicaid/community-plan-mplus-mma

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MCC of Florida

MCC Magellancompletecareoffl.com Get All

800-327-8613

1 hours agoMagellan Complete Care of Florida is a specialty health plan for people living with serious mental illness. We provide members with access to both mental and physical healthcare. This information is available for free in other languages and formats. Please contact Member Services number at 1-800-327-8613 (TTY 711) between 8 a.m. and 7 p.m

Link: https://www.magellancompletecareoffl.com/

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Florida Medicaid, Medicaid Insurance Plans from Humana

Florida Humana.com Get All

8 hours agoMedicaid provides free or low-cost health insurance to millions of Americans. Coverage is open to individuals, children, pregnant women, senior citizens, and people with disabilities, each of whom must meet specific income requirements.

Link: https://www.humana.com/medicaid/florida-medicaid

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Member Handbook Sunshine Health

Member Sunshinehealth.com Get All

866-796-0530

3 hours agoMember Handbook. This Medicaid, Comprehensive Long-Term Care and Serious Mental Illness (SMI) Member Handbook (PDF) will be your guide for all healthcare services available to you. If you have any questions, or need help making appointments, just call us at 1-866-796-0530.

Link: https://www.sunshinehealth.com/members/smi/resources/handbooks-forms.html

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Medicaid Long Term Care Services in Florida Humana

Medicaid Humana.com Get All

888-998-7732

2 hours agoIf you have LTC coverage, a care coach will call you a few days after you are enrolled in our Long-Term Care plan. If you have questions before you speak with your care coach, call Customer Care at 1-888-998-7732 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time. For a full list of services and to learn what is covered, see your

Link: https://www.humana.com/medicaid/florida-medicaid/coverage/long-term-care

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Medicaid and Assisted Living Benefits in Florida DeLoach

Medicaid Dhclaw.com Get All

3 hours agoMedicaid for assisted living or in-home benefits has its limitations. This Medicaid program does not pay for all of the assisted living facility's cost, for instance, nor does it pay for 24/7 in-home care. In Florida, Medicaid will generally help with assisted living costs by reducing the by $1,100-$1,500/month.

Link: https://www.dhclaw.com/library/medicaid-and-assisted-living-benefits-in-florida.cfm

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Medicaid Policy& How to Access State Plan Services

Medicaid Fndusa.org Get All

4 hours agoFlorida Medicaid Summary of Services Everyone should refer to the Florida Medicaid Provider General Handbook, or the service-specific coverage and limitations and reimbursement handbooks, for more detailed information about Florida Medicaid. Individuals may contact their local Medicaid area office for more details about covered services.

Link: https://fndusa.org/wp-content/uploads/2015/05/Waiver_Training_Approved.pdf

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Coventry Long Term Care Program Medicaid Health Plans

Coventry Aetnabetterhealth.com Get All

844-645-7371

5 hours agoCoventry Health Care of Florida Long Term Care Enrollee Handbook Member Services 1-844-645-7371, TTY 711 www.coventryflltc.com i iii The health plan provides various options for reporting suspected/confirmed fraud, abuse or overpayment.

Link: https://www.aetnabetterhealth.com/florida/assets/pdf/member/2015-12-1_COV.memberhandbookltc.pdf

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Frequently Asked Questions

What are the benefits of medicaid in florida?

Coverage and benefits. Your Florida Medicaid plan includes medical, vision and hearing coverage, as well as expanded benefits. You also have prescription drug and behavioral health benefits. You may also have long-term care coverage, depending on your plan.

What does florida medicaid pay for?

Medicaid pays for limited dental benefits for adults and children. Florida Medicaid provides dental coverage to children under age 21. All routine preventive dental services are covered, including fluoride treatments, sealants, examinations and cleanings.

What is the florida medicaid program?

Florida Medicaid. Medicaid is a medical assistance program that helps provide access to healthcare for families with low-income and individuals. Medicaid also helps aged and disabled people with the rising cost of nursing facility care and other health care expenses.

Does medicaid pay for home healthcare?

Yes, Medicaid will pay for in-home care, and does so in one form or another, in all 50 states. Traditionally, Medicaid has, and still continues to, pay for nursing home care for persons who demonstrate a functional and financial need.

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