Statewide Prepaid Dental Health Program
Effective immediately, the Agency has halted the roll-out of the Statewide Prepaid Dental Health Program (PDHP) due to the budget proposal passed by the legislature and the accompanying statutory language passed in House Bill 5001 and House Bill 5003. Until further notice, the Statewide PDHP will continue to operate in Area 9 (Indian River, St. Lucie, Martin, Palm Beach and Okeechobee Counties), but will not expand into other Medicaid areas. Stopping select PDHP operations does not affect the Prepaid Dental Pilot Program that is currently operating in Miami-Dade County. The Agency is providing notice of this decision to affected parties and will provide additional information as it becomes available.

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SLMB/QI1 Recoupment
On September 30, 2011, letters were sent to affected providers detailing the upcoming SLMB/QI1 Recoupment. Please click here for more information and instructions on how to access the claims associated with the recoupment amounts on the secure Web Portal.

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Non-Reform Health Plans that Cover State Plan Dental
Please remember that non-Reform health plans may choose to cover State Plan dental services. We refer to this as "optional dental." If they choose to cover State Plan dental, then they receive extra capitation and are responsible for all State Plan dental services detailed in the Medicaid Provider Dental Services Coverage and Limitations Handbook.

The following health plans currently cover optional (State Plan) dental services in all of their non-Reform counties of operation effective January 1, 2012:

• Healthy Palm Beaches
• Integral
• Molina

Please be careful to request service authorization and to bill accordingly.

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Known Issues List
Please review the Known Issues and Informational Items List (Updated 5/17/2012) for details related to the MMIS.

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Enrollment Fax Cover Sheet
You can now fax enrollment correspondence to Provider Enrollment by using the Provider Enrollment Fax Cover Page link located on the right-hand side of the Providers page in the secure Web Portal.

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Eligibility Verification
REMINDER: When performing an eligibility verification on the secure Web Portal, the response may include references that state “limited to family planning benefit.” That statement is referring to the Family Planning Waiver benefit. As a reminder, in cases where a recipient has eligibility in multiple benefit plans, with one of the plans having a higher level of benefits (for example, Full Medicaid), the Full Medicaid plan takes precedence and more fully represents the recipient's eligibility.

Florida Medicaid's Web Portal solution provides communication, data exchange, and self-service tools to the provider community. The Web Portal consists of both public and secure areas (Web pages requiring a username and password). The public area contains general information, such as program awareness, notices, and forms.

You can now apply to be a Medicaid provider online using the provider enrollment wizard and track your application through the process. Once you are enrolled in Medicaid, you can access your personal information using your provider number and PIN (personal identification number).

You can:

• Update information on your provider number;
• Download a form to update address information;
• Perform eligibility verification;
• Request and track prior authorization and referrals;
• Submit and track claims;
• Access alerts and notices; and
• Receive Medicaid policy updates.

Providers can view contact information, training schedules, and training locations using the Area Office contact page. Providers can also receive training using computer based training courses.