FW: Important Information Regarding 11/1/11 Implementation of Prior Authorization for Therapy Services

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----- Forwarded Message -----To: fndfllistserv@...Sent: Thursday, October 13, 2011 2:59 PMSubject: [FND Heart Network] FW: Important Information Regarding November 1, 2011 Implementation of Prior Authorization for Therapy Services

From Family STAR of FND

Better Health Care for All Floridians

FLORIDA MEDICAIDA Division of the Agency for Health Care Administration

Health Care Alerts & Provider Alerts MessagesOctober 2011

Provider Type(s): 83

Important Information Regarding November 1, 2011 Implementation of Prior Authorization for Therapy Services

The Agency for Health Care Administration (Agency) has entered into a contract with eQHealth Solutions, Inc. for utilization management, including prior authorization of therapy services.

The primary purpose of the utilization management program is to safeguard against the provision of unnecessary medical services or inappropriate use of Medicaid services and to ensure appropriate care.

There are still opportunities to prepare for the November 1 implementation. All of the information my be found on the AHCA therapy website: http://click.icptrack.com/icp/relay.php?r=15066781 & msgid=569796 & act=4L1T & c=227375 & destination=http%3A%2F%2Fahca.myflorida.com%2Fmedicaid%2Fchildhealthservices%2Ftherapyserv%2Findex.shtml.

EQHealth Solutions will host web-based training sessions throughout the month of October. Webinars are scheduled for different times of the day, including evenings and different days of the week, for therapy providers. This affords you the opportunity to attend as many sessions as you need to accommodate your busy schedule.

Click here to access the eQHealth Solutions website.

Click here to access eQHealth tips for preparing for prior authorization.

The Agency will provide periodic updates through the Florida Medicaid Web Portal, provider bulletins, provider notification letters, and Medicaid Health Care Alerts.

The therapy website also includes a wealth of information and tools on Medicaid's therapy policy. Please visit this site often so that you can stay up-to-date on the most current information.

LINKS

Florida Medicaid Web Portal | Florida Medicaid Health Information Network | Florida Medicaid HIPAA Information | HIPAA Transactions & Code Sets Standard | National Identifiers | Florida Medicaid EHR Incentive Program | FloridaHealthFinder.gov

QUESTIONS ABOUT FLORIDA MEDICAID?

Please direct questions about Medicaid policies to your local Medicaid area office. The Medicaid area offices’ addresses and phone numbers are available on the Area Offices Web page.

ALERTS INFORMATION

The Florida Medicaid program has created an e-mail alert system to supplement the present method of receiving Provider Alerts information and to alert registered subscribers of "late-breaking" health care information. An e-mail will be delivered to your mailbox when Medicaid policy clarifications or other health care information is available that is appropriate for your selected area and provider type.

Visit the Florida Medicaid’s Health Care Alerts page to subscribe now. You may unsubscribe or update your subscription at any time by clicking on the "Manage your subscription" icon in the footer of each e-mail. Other questions regarding the e-mail alert system can be sent to the Florida Medicaid Alerts Administrator.

© 2011 Agency for Health Care Administration

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