CORONAVIRUS ALERT: Florida Community Care is closely monitoring updates related to the 2019 Novel Coronavirus (COVID-19) with the Florida Agency for Health Care Administration (AHCA) and the Centers for Disease Control (CDC). CLICK HERE FOR THE LATEST INFORMATION FROM THE AHCA.
For Providers
On March 9, 2020, Governor Ron DeSantis issued Executive Order Number 20-52 declaring a state of emergency related to the 2019 novel coronavirus (COVID-19). During this state of emergency, Florida Community Care (FCC) is committed to ensure there are no gaps in care for its Medicaid enrollees, while implementing procedures and the use of routine screenings to prevent further spread of COVID-19. As a resulting, we are following the Agency for Health Care Administration (AHCA)guidance on provider payment and authorization requirements.
FCC's payment provisions include the following:
- Waiver of Prior Authorization Requirements
- Waiver of Limits on Services
- Waiver of Cost Sharing
- Provider Enrollment and Credentialing
- Claims Submission Instructions
For additional information, please click on the link below to view the payment provision notice.
Provider Notices
Please check back every week for important notices
Provider COVID-19 Notice
In February of 2020, the Florida Department of Health declared a public health emergency resulting from the COVID-19 virus.
Provider Documents
Local Coverage Determination (LCD); Canes & Crutches
Local Coverage Article Manual Wheelchair Bases
Local Coverage Determination (LCD); Commode Chair
Local Coverage Determination (LCD); Walker
Local Coverage Determination (LCD); Oxygen & Oxygen equipment
Local Coverage Determination (LCD); Patient Lifts
Local Coverage Determination (LCD); Hospital Beds & Accessories
Local Coverage Determination (LCD); Pressure Reducing Support Surfaces - Group 1
All CMS Benefit Policy Manuals
CMS Coverage Determination Part 1
Medicare Benefit Policy Manual- Chapter 7 (Home Health Services)
Medicare Benefit Policy Manual- Chapter 8 (SNF-Coverage of Extended Care)
Medicare Benefit Policy Manual- Chapter 9 (Coverage of Hospice Services Under Hospital Insurance)
Medicare Benefit Policy Manual- Chapter 15 (Covered Medical and Other Health Services)
CMS Manual System- Home Health Certification & Recertification Policy Changes
Authorizations
Submit Utilization Management/ Prior Authorizations by:
Case Management Authorizations:
If you are a long-term care provider that needs authorization please contact your case manager or call FCC at 1-833-FCC-PLAN Ext. 2
Availity Access
The Availity Portal offers health care professionals free access to real-time information and confirmation of claims submissions.
At Availty, you can:
- Submit Claims
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