Notifications and Newsletters

In this ever changing world of health care, you as a provider need to stay on top of the latest news in our industry. Aetna Better Health of Florida helps you with this and takes the lead. We provide you with news and updates from us, as well as the latest breaking stories from the health care industry as a whole. From these pages you will see real time feeds from newsmakers like Centers for Medicare and Medicaid Services (CMS), Centers for Disease Control (CDC), and others. We know that you want to stay informed, and we’ll give you the tools to do so.

PROVIDER REMINDER

Providers Cannot Charge Florida Medicaid Recipients for Personal Protective Equipment 

Florida Medicaid and Florida Healthy Kids providers cannot charge a recipient for Personal Protective Equipment (PPE) used during the delivery of a Medicaid covered service. Reimbursement from Florida Medicaid is payment in full for all services.

Additional information, including balanced billing prohibitions, is located in the Agency’s General Medicaid Policy. 

https://ahca.myflorida.com/medicaid/review/General/59G-1.050_General_Medicaid_Policy.pdf

 

2020

2019

2018

December 2018 - Continuity of Care (COC) Information

December 2018 - Participating Vendors List

November 2018 - EIS Therapy Approval Process

November 2018- Covered Flu Vaccines

October 2018 - Home Health and Personal Care Services Billing

October 2019 – MediKids Vaccine Information – Children’s Health Insurance Program (CHIP)

October 2018 - Hospice Guidelines

October 2018 - Non-Emergency Medical Transportation Changes

October 2018 - Hurricane Michael

September 2018 - Anesthesia Billing Modifiers

September 2018 - Integrated Care Management Programs

July 2018 - Recoupment Project Information

July 2018 - Urine Drug Testing (UDT)

July 2018 - No Prior Authorization Required on Select X-rays and Ultrasounds

May 2018 - MCNA Preventive Dental Benefits Outreach

May 2018 - E&M coding edits

May 2018 - Aetna Assitance Program Majority Stoneman Douglas HS

May 2018 - Enhanced Ambulatory Patient Groupings (EAPG) Physician Notification

May 2018 - ENS-Event Notification Service Participation

May 2018 - January CAP Payment Delay

May 2018 - National Drug Code NDC

May 2018 - Oncology Pre-Certification Process

May 2018 - Preferred Home Health Agency

May 2018 - REVISED-National Drug Code NDC

May 2018 - Risk Adjustment Letter

January 2018 - New Updates Bulletin v.2

January 2018 - Clinical Payment, Coding and Policy Changes

January 2018 - Prior Authorization Requirements

January 2018 - eviCore Fax Blast

January 2018 - MCNA Pregnant Woman Outreach Fax Blast

January 2018 - MCNA Preventive Dental Benefits Outreach

January 2018 - Medicaid and FHK Prior Authorization Requirements

2017

10/18/17 - Spinraza and Exondys 51 Drug Submission Update

10/10/17 - Covered Bowel Prep Products

10/10/17 - Covered Prenatal Vitamins List

8/15/17 - Change of Ownership for Skilled Nursing Facilities Information

8/11/17 - Prematurity Symposium Training Notification

8/10/17 - Event Notification Service (ENS) Participation

7/7/17 - Abuse Neglect Exploitation Provider Training

6/26/17 - FL Florida State Online Tracking System (SHOTS) Registration and Attestation

5/30/17 - Physical (PT), Occupational (OT) and Speech (ST) Therapy Benefits

3/30/17 - Medicare Cross Over Claims Information

3/29/17 - Vaccines for Children Program and Required Modifier

3/13/17 - Prior Authorization Providers Process

3/10/17 - Claims Editing and Adjudication Across Professional and Institutional Claim Types

3/10/17 - Hospitals Authorization Process

2/24/17 - CVS-Caremark Pharmacy Benefits Update

2/21/17 - Timely Filing Guidelines

2/21/17 - Cross Claim Implementation

2/21/17 - Powdered Medical Gloves Update

2/21/17 - Lab Services Vendor Information

1/18/17 - EviCore Healthcare Partnership Announcement

1/13/17 - Physical and Occupational Therapy CPT Codes Update

2016

10/11/16 - Home Health Preferred Provider

9/6/17 - Fraud Waste and Abuse Training

7/11/16 - Long Term Claims Information and Important Reminders

March 2016 - MMA Expanded Benefits for Pregnant Members

January 2016 - Long Term Care Claims Billing Information

January 2016 - Fax Florida Healthy Kids Pre-Cert Information