Important Information

System Messages

Holiday Office Closure

Florida Medicaid and DXC offices, including the field offices and provider call center, will be closed Monday, May 28, 2018, in observance of Memorial Day. All offices will resume normal business hours on Tuesday, May 29, 2018.

Accessing the Secure Web Portal

To successfully access the secure Web Portal, please ensure you are using the following direct Web address: https://home.flmmis.com/home/ and a compatible Internet browser.

It is imperative that you do not attempt to use a bookmarked Web address that begins with "https://sso.flmmis.com." Additionally, after you verify your Web address and supported browser, if you receive an error message when attempting to access the login page, please clear your Internet cache, close all browser sessions, and open a new browser.

To receive assistance with the Web Portal, please contact the Provider Services Contact Center, 1 800 289 7799, option 7.

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Urgent Provider Issues

Please review the Known Issues and Informational Items List (updated 04/24/2018) for details listed related to the MMIS.

Holiday Office Closure

Please review the Holiday Office Closure document for a comprehensive list of 2018 scheduled holidays.

Scheduled Maintenance

Please review the Scheduled Maintenance document for a comprehensive list of 2018 scheduled maintenance dates.

Current Topics

Assistance for Behavior Analysis Providers

Prior Authorizations:
eQHealth Solutions is the Quality Improvement Organization contracted with the Florida Agency for Health Care Administration (AHCA) to provide utilization management, including prior authorization of behavior analysis services provided to Medicaid recipients in the State of Florida.

For questions or information about prior authorizations, the following resources are available on the eQHealth Website at http://fl.eqhs.org, under the Behavior Analysis Tab.

  • Access Forms
  • Behavior Analysis Provider Manual
  • HCPCS Codes reviewable by eQHealth Solutions
  • Forms and Downloads
  • eQSuite User Guide
  • Education and Training presentations

Important Note: DXC cannot provide detailed information regarding prior authorizations for Behavior Analysis providers.

For general inquiries, inquiries that cannot be addressed through eQSuite, or if you have a complaint, contact the eQHealth toll free customer service number 855-444-3747. Staff is available 8:00AM – 5:00PM Eastern Time.

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Prepayment Reviews and Payment Restrictions:
Pursuant to Section 409.913 of the Florida Statutes, the Florida Agency for Health Care Administration (AHCA) may conduct prepayment reviews of provider claims to ensure that billing by a provider to AHCA is in accordance with applicable provisions of all Medicaid rules, regulations, handbooks, policies, and in accordance with federal, state, and local law. In addition, AHCA may withhold Medicaid payments upon receipt of reliable evidence of fraud or abuse under the Medicaid program.

AHCA notifies the providers who are placed under prepayment review or withholding of payments via written correspondence mailed to the address on file. The correspondence includes detailed information on why a provider was placed under such a restriction, including contact information for questions related to the action.

Important Note: DXC cannot provide detailed information regarding AHCA imposed provider restrictions.

For all questions regarding prepayment review, providers are encouraged to review the guidance provided within the written correspondence distributed by AHCA. For more information, providers should contact AHCA’s Bureau of Medicaid Fiscal Agent Operations at 850-412-3462.

For all questions regarding payment restrictions, providers are encouraged to review the guidance provided within the written correspondence distributed by AHCA. For more information, please contact AHCA’s Office of Medicaid Program Integrity at 850-412-4600.

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Enhanced Provider Enrollment Screening for Referring, Ordering, Prescribing, and Attending (ROPA) Providers and Medicaid Managed Care Network Providers

The Agency for Health Care Administration (Agency) is commencing two provider screening initiatives to require all providers who refer, order, prescribe, or attend in conjunction with the provision of services to Florida Medicaid recipients and all providers who participate in the network of a Medicaid managed care plan to enroll in the Florida Medicaid program. The requirements are detailed in the Patient Protection and Affordable Care Act (ACA) and the 21st Century Cures Act (Cures).

Details of the ROPA and Cures initiatives can be found from the Agency Initiatives tab of the public Web Portal under the Provider Screening Initiatives page. Please visit the initiative pages frequently to remain up-to-date with the latest information as it is made available.

Florida Medicaid Taxonomy Guide

The Agency for Health Care Administration has published a revised Florida Medicaid Taxonomy Guide on the Enrollment Forms page of the Medicaid public Web portal. The revised guide incorporates new and updated taxonomy codes for Social Workers, Professional Early Intervention Services, and Prescribed Pediatric Extended Care (PPEC). The new codes are now available for providers to select when applying to Florida Medicaid.

Providers may contact the Provider Enrollment Contact Center at 1-800-289-7799, Option 4, with any inquiries.

New Medicare Card Project

The Agency for Health Care Administration (Agency) will be implementing the New Medicare Card Project (NMCP) in order to meet requirements detailed in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which mandates the Centers for Medicare & Medicaid Services (CMS) remove all SSNs on all Medicare beneficiary cards.

To ensure all providers and insurers have access to the most up-to-date information on this initiative, a new NMCP page has been created under the Agency Initiatives tab of the public Web Portal. Importantly, the information on the NMCP page includes the transition schedule that providers will need to become familiar with in order to prepare for the NMCP transition. We will update the NMCP webpage as new information becomes available, so please visit regularly for the most current information.

Provider Screening

The Agency for Health Care Administration has published a revised Provider Background Screening page on the Medicaid public Web portal.

Providers are encouraged to visit the revised Background Screening page to review new information related to the types of screening activities that are performed by the Agency, as well as general information related to the requirement for providers to disclose ownership and controlling interest information and to submit to fingerprinting.

Providers may contact the Provider Enrollment Contact Center with any inquiries at 1-800-289-7799, Option 4.

Secure Web Portal Password

Have you forgotten your password or has your password expired? Did you know that you can recover your password or reset your expired password by clicking on the “Forgot your password?” link from the “Secure Web Portal Login” page? Note: This option will only work if a security question has been configured.

To configure a security question, follow these steps:

  1. Contact the Provider Services Call Center (PSCC) at 1-800-289-7799, Option 5.
  2. Once PSCC has reset your password, log in to the Secure Web Portal.
  3. On the home page, click “Account Management”.
  4. On the “Account Management” page, click “My Information”.
  5. Select a question and provide an appropriate response.
  6. When complete, click "Save".

Important Reminder: Passwords expire every 60 days. To reset an expired password, use the “Forgot your password?” link. And remember, setting up a security question will save you time and a call to the Provider Service Call Center.

HURRICANE IRMA

Important information to support the continued care for Florida Medicaid recipients that may be displaced due to the impacts of Hurricane Irma is located on the Hurricane Irma Information page in the public Web Portal.

Sign Up For Provider Alerts

REMINDER: Please note that the Agency for Health Care Administration (Agency) provides an eAlert system to keep providers informed of the latest Florida Medicaid information. Once signed up for the Provider Alerts, the provider will receive any alert AHCA posts that pertains to that provider's type or region.

To subscribe to the automated alert system, complete the online form on the Agency's website. Archived alerts are posted in the public Web Portal on the Provider Alerts page and the Managed Care Alerts page.