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 Web Portal Access

Access your secure provider information any time.

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PHARMACY RESOURCES

Utilization Management/Prior Authorization

Provider Notices

Please check back every week for important notices

Authorizations

Submit Utilization Management/ Prior Authorizations by:

Provider Portal

Fax: 305.675.6138

Phone: 1.833.322.7526, Option 5

Email: umpa@fcchealthplan.com.

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


Provider Resources

Expanded Benefit Guide

The following details all expanded benefits available to Florida Community Care Medicaid enrollees.

SMMC Discharge Planning Resource Guide

This reference guide provides a list of the departments at Florida Community Care that may be helpful in assisting with coordination and authorization of services that a member may need as part of the discharge plan.

Managed Medical Assistance (MMA) Service Authorization Requirements

FCC Managed Medical Assistance Benefits and Services (MMA) Prior Authorization Program.

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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FCC Member Services
1-833-FCC-PLAN
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