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Provider Communications

2017

TITLE DATE
Vaccines for Children October 2017
Improving Health Literacy - Medicaid  January 2017
Reminder: Interpreter Services are Available for all Plan Members - Medicaid  January 2017
Frequently Asked Questions Regarding the Merger of Anthem, Inc. Legal Entities in Florida April 2017
2016 SNP Model of Care June 2017
Emdeon NPI Payment Options June 2017
HIPAA 5010 Requirements August 2017

2016

TITLE DATE
Important Plan Changes for 2017 December 2016
Florida Medicaid Now Covering Breast Pumps December 2016
Important CPT Codes Changes for Physical Therapy December 2016
Colorectal Cancer Screening Bulletin  December 2016
Procedure Code Requirement for Outpatient Hospital Claims  December 2016
Intensity Modulated Radiation Therapy Authorization Requirements  November 2016
Change of Pharmacy Benefit Manager to Express Scripts Effective 1/1/2017  November 2016
Behavioral Health Screening, Referral and Coding Requirements ICD10 October 2016
Simply Healthcare Preparation for Hurricane October 2016
2017 Medicare County Expansion  October 2016
Billing Rules Applicable to Dual Eligible Beneficiaries  September 2016
SDS Address Change  September 2016
Vaccine for Children (VFC) Programs August 2016
Provider Incentive Program Bulletin August 2016
Provider Pre-Payment Review - Acknowledgement Request  July 2016
Simply Healthcare Plans Latest 835 Enhancements - Medicaid  July 2016
Simply Healthcare Plans Latest 835 Enhancements - Medicare  July 2016
Medical Policies and Clinical Utilization Management Guidelines - Medicaid  June 2016
Medical Policies and Clinical Utilization Management Guidelines - Medicare  June 2016
Special Needs Program (SNP) Model of Care Training May 2016
2015 Special Needs Program (SNP) Model of Care Overview and Summary of Annual Evaluation Findings May 2016
(Medicare Only) 
May 2016
Florida Medicaid Electronic Health Record (EHR) Incentive Program! April 2016
Patient Look-Up (PLU) Webinar April 2016
Child Health Checkup Billing March 2016
Provider Manual and Policy Changes - Claims Dispute and Appeal Changes  February 2016
Managed Medical Assistance (MMA) Express Enrollment Impact! January 2016

2015

TITLE Date
Reminder: Interpreter Services are Available for all Plan Members! September 23, 2015
Health Literacy September 19, 2015
2015-2016 Flu and Pneumonia Vaccines September 30, 2015
Authorization Requests January 26, 2015
Transportation for Member of Simply Healthcare Plans - MEDICARE February 24, 2015
Important Change in Medication Prior Authorization - MEDICARE ONLY March 16, 2015
Revisions to Quick Authorization (QAF) April 13, 2015
Authorization Requests and Appointments - MEDICAID April 22, 2015
Approved Lab Services Outside of Quest Capitated Agreement May 1, 2015
Code Editing Enhancements June 1, 2015
Revisions to Quick Authorization Form (QAF) July 13, 2015
Information on Health Literacy  September 11, 2015
Provider Validation Outreach October 1, 2015
Access and Availability Reminder 2015
Adult BMI Assessment Measures 2015
Behavioral Health Screening Reference Guide for PCP's 2015
Behavioral Health Screening, Referral and Coding Requirements 2015
Body Mass Index Table 2015
Healthy Behaviors Medicaid Member Incentive Programs Are Here! 2015
Reminder - Interpreter Services are Available for all Plan Members! 2015
Practice Guideline for the Treatment of Patients with Substance Use Disorders 2015

2014

TITLE DATE
CAHPS and HOS Incentive Bonus  February 18, 2014
Simply Partners with Emdeon April 1, 2014
Important Information as MMA Rolls Out in Regions 10 & 11 July 1, 2014
Important Information as MMA Rolls Out in Region 11 - Miami-Dade & Monroe July 1, 2014
Member Eligibility and Authorization Requests July 7, 2014
Capitation Payments July 10, 2014
2014-2015 Flu and Pneumonia Vaccines MEDICARE July 10, 2014
2014-2015 Flu and Pneumonia Vaccines MEDICAID July 10, 2014
Revision to Quick Authorization Form (QAF) July 14, 2014
Revision to Quick Authorization Form (QAF) MEDICAID August 11, 2014
Revision to Quick Authorization Form (QAF) MEDICARE August 11, 2014
Revision to Quick Authorization Form (QAF) August 11, 2014
Vaccine for Children (VFC) Programs September 1, 2014
Reminder of Network Changes Effective on October 1, 2014 October 15, 2014
Treatment of Patients with Substance Use Disorders 2014
Important Information for Claims Submission 2014

2013

TITLE DATE
Provider Manual Updates  February 1, 2013
Latest Enhancements to our Explanation of Payment July 1, 2013
Well-Child Exams July 12, 2013
Simply Partners with Emdeon September 1, 2013
Simply Partners with Emdeon October 15, 2013
2013-2014 Flu and Pneumonia Vaccines 2013
Adult BMI Measures 2013
Body Mass Index Table 2013

2012

TITLE DATE
January 1, 2012
March 8, 2012
September 23, 2012
November 1, 2012
December 1, 2012
January 1, 2013
2012
2012
Last Updated: 
October 1, 2017