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.
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For billing interim inpatient hospital stays that exceed 100 consecutive days, hospital provider claims must following the procedures in this provider bulletin.
You’re invited to participate in a webinar training covering topics relating to the flu, flu vaccine and more.
Effective February 1, 2021, specialty medications for Simply/Clear Health Alliance Medicaid members will need to be filled at IngenioRx Specialty Pharmacy. IngenioRx Specialty Pharmacy will enable members on specialty medications and who have complex medical conditions to stay compliant with their specialty drug regimens.
As of January 4, 2021, LogistiCare Solutions, LLC, the nation’s largest provider of non-emergency medical transportation and our transportation provider for regions one through nine, has formally changed its company name to ModivCare Solutions, LLC.
Effective December 31, 2020, EyeQuest (DentaQuest of Florida, Inc.) will no longer be providing medical and surgical vision services for Simply Healthcare Plans, Inc. (Simply) members. Beginning January 1, 2021, iCare Health Solutions, LLC will be the statewide subcontractor providing medical and surgical vision services to Simply members.
LabCorp is the exclusive independent laboratory provider for Simply and Clear Health Alliance.
Effective January 1, 2021, prior authorization (PA) requirements will be required for the CPT codes listed in this provider bulletin.
Effective January 1, 2021, prior authorization requirements will be required for the following CPT codes if requested in the outpatient (OP) hospital setting.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
Don't have an Availity account? Register free now!
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
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.