Clear Health Alliance Provider Home

Providers

Welcome, providers!

Resources that help health care professionals do what they do best – care for our members.

At Clear Health Alliance (CHA), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

COVID-19 Information from Clear Health Alliance


Clear Health Alliance is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Looking for the secure portal?


For services provided before the rollout of the new Statewide Medicaid Managed Care program, please visit the previous CHA provider portal.

For services provided after the new Medicaid plan rollout, please visit the Availity portal.

Don't have an Availity account?  Register for free now!

Need help with Availity? Learn more

Provider News


Prior authorization requirement for outpatient procedures if done in the outpatient hospital setting (place of service 22/billing code 013)

Effective January 1, 2021, prior authorization requirements will be required for the following CPT codes if requested in the outpatient (OP) hospital setting.

Preferred Multisource Brand Prescribing Reminder

State-negotiated supplemental rebates, along with federal rebates, make certain brand drugs more cost-effective to the Florida Medicaid program than their generic equivalent products.

PROVIDER Initiative Virtual Mid-Project Meeting 

Hospitals and OB providers are invited to participate in an upcoming webinar regarding Primary Vaginal Deliveries.

Healthy Behaviors Annual Evaluation 2020

The purpose of the Healthy Behaviors Rewards program is to provide members with programs that encourage and reward healthy behaviors designed to improve the enrollee’s overall health.

Update to Vaccines for Children

The Florida Vaccines for Children (VFC) Program provides vaccines to children 0 to 18 years of age who meet program eligibility at no cost to the parent or guardian. The provider must enroll with the VFC Program through the Department of Health to receive the vaccines free of charge and have sufficient supplies of the vaccines.

Sign up to receive email from Simply Healthcare Plans, Inc. and Clear Health Alliance

In order to communicate more efficiently with providers, Simply and CHA are now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Email is the quickest and most direct way to receive important information from Simply and CHA.

 
 

Availity access


The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Don't have an Availity account?  Register free now!

Availity is your one-stop to complete your transactions

Featured Resources


Pharmacist looking at prescription bottle

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Excited Mom showing off baby’s ultrasound

Maternal Child Program

We offer a proactive case management program for expectant mothers and their newborns. The My Advocate® program provides pregnant women proactive outreach and education through interactive voice response (IVR), text or smartphone application.

Patient talking with counselor

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in the Clear Health Alliance network?

We look forward to working with you to provide quality service for our members.