Provider Services

Provider Portal

In an effort to serve you better, Simply Healthcare Plans provides a Provider Portal for its Simply Medicaid and Medicare lines of business. The following services are available via the Provider Portal:

  • Eligibility verification
  • Claim Status
  • Referral Entry and Status Review

You may register, as a participating provider, on the Simply Provider Portal by entering your Tax Identification Number and NPI as requested on the Registration page of the Web Portal. Please contact Simply via e-mail should additional assistance be required.


Provider Directory

TITLELAST UPDATED
Region 11 SHP Miami-Dade & Monroe DirectoryJanuary 2015

Managed Medical Assistance (MMA) Provider Materials

TitleLast Updated
Medication Prior Authorization Fuzeon (MEDICAID ONLY)February 2012
Medication Prior Authorization HIV-HEP-B Diagnosis Verification (MEDICAID ONLY)February 2012
Medication Prior Authorization Selzentry Maraviroc (MEDICAID ONLY)February 2012
Medication Prior Authorization SerostimFebruary 2012
Synagis Request (MEDICAID ONLY)February 2012
Medicaid Prior Authorization & Step Therapy MEDICAID ONLYDecember 2011
Informed Consent For Psycotherapeutic Medication (13 years or older)January 2015
AHCA ALERT HIV or Hepatitis C Medications and StatinsJuly 2012

Downloads

TitleLast Updated
Diabetes SuppliesJanuary 2015
Helping Smokers Quit, A Guide for CliniciansJanuary 2015

Health & Wellness Information

We Can! Ways to Enhance Children's Activity & Nutrition
We Can! is a national movement designed to give parents, caregivers, and entire communities a way to help children 8 to 13 years old stay at a healthy weight. For more information, click here
 
Useful tools: 

Psychcare

For information about Psychcare go to: http://www.psychcare.com:
For Provider manual click here

Simply Provider Newsletter


Simply Medicare Provider Bulletins


Simply Medicaid Provider Bulletins


Evidence Based Guidelines

A copy of the guidelines are available upon request by calling the Provider Services number.

Claim Submission

All paper claims should be sent to the following new address:
Simply Healthcare Plans
PO Box 21535
Eagan, MN 55121

Provider Contact

Eligibility Verification System

For membership eligibility and verification, call our DIgital Voice Assistant at (877) 915-0551.

Enter Member's Medicaid ID or Member's Healthplan ID as it appears on their ID card.

Problems? Dial 0 to speak with a representative.

ICD-10 Readiness Assessment Survey

How Ready Are You? Find out in minutes.

Simply Healthcare is committed to ensuring that its providers are ready for the conversion to ICD-10 on October 1, 2015.

To support you throughout the ICD-10 conversion process, we have designed a brief Readiness Assessment Survey. Completion of the 26-question survey will help us establish a baseline measure of your readiness and guide us in assisting you though a successful ICD-10 conversion. 

Provider Readiness Survey

We appreciate your participation in the Simply Healthcare ICD-10 Readiness Assessment Survey and look forward to working with you to ensure a smooth conversion.