Florida Medicaid will reimburse out-of-state providers who provide services to an eligible Medicaid recipient under the following circumstances:

• An emergency arising from an accident or illness that occurs while the recipient is out of state;
• The recipient's health will be endangered if the care and services are postponed until returning to Florida;
• The child is a non-Title-IV-E Florida foster or adoption subsidy child living out of state and is covered under the Florida Medicaid program; or
• Florida Medicaid determines, on the basis of medical advice, that the needed medical services or necessary supplementary resources are more readily available in another state and prior authorizes the out-of-state services.

To enroll, the out-of-state provider must submit the following documents to Florida Medicaid Provider Enrollment, P.O. Box 7070, Tallahassee, FL 32314-7070:

• Completed Florida Medicaid Out-of-State Provider Enrollment Application
• The appropriate Florida Medicaid Provider Agreement, Institutional or Non-Institutional
• Copy of professional license
• Claim form
• Documentation that the claim meets one of the criteria above

If the service was eligible for reimbursement, the provider will be enrolled retroactively for the dates on which the services were provided.

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