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Univita Termination with All Statewide Medicaid Managed Care Plans

SMMC Program

 

A big announcement, moments ago, from AHCA.

From: “State of Florida Agency for Health Care Administration”
Date: July 28, 2015 (at 4:40:32 PM EDT)
Subject: Univita Termination with All Statewide Medicaid Managed Care Plans

FLORIDA MEDICAID
A Division of the Agency for Health Care Administration
Florida Medicaid Health Care Alert July 2015

 

Univita Termination with All Statewide Medicaid Managed Care Plans  The Statewide Medicaid Managed Care (SMMC) plans will no longer contract with Univita for home health, durable medical equipment (DME) or intravenous therapy for their Medicaid members.Providers should continue providing services to enrollees during the transition period for any services that were previously authorized or prescheduled, regardless of whether the provider is participating in the plan’s network. The Agency expects SMMC plans to honor any existing prior authorizations of ongoing covered services and will ensure SMMC plans pay for authorized services during this transition period.Effective immediately, Univita will no longer process new prior authorization requests. If you need to request a prior authorization or are interested in contracting with a SMMC plan, please refer to the listing below. 

Amerigroup Florida, Inc.

For Prior Authorizations and Provider Contracting:

Phone: 1-800-454-3730

Fax: 1-800-964-3627

Better Health, LLC

For Prior Authorizations and Provider Contracting:

Phone: 1-877-915-0551

Fax: 1-855-461-0629

Clear Health Alliance

For Prior Authorizations and Provider Contracting:

Phone: 1-877-915-0551

Fax: 1-855-461-0629

Coventry Health Care of Florida

For Prior Authorizations and Provider Contracting: 1-800-470-3555

Humana Medical Plan, Inc.

For Prior Authorizations: 1-800-523-0023

For Provider Contracting: 1-800-626-2741

Magellan Complete Care

For Prior Authorizations and Provider Contracting: 1-800-327-8613

Molina Health Care of Florida, Inc.

For Prior Authorizations and Provider Contracting: 1-855-322-4076

Prestige Health Choice

For Prior Authorizations and Provider Contracting:

Phone: 1-800-617-5727

Fax: 1-855-398-5610

Simply Healthcare Plans, Inc.

For Prior Authorizations and Provider Contracting:

Phone: 1-877-915-0551

Fax: 1-855-461-0629

Staywell Health Plan of Florida

For Prior Authorizations:

Phone: 1-800-351-8777

Fax: 1-877-426-7091

For Provider Contracting: 1-800-768-6144

United Health Care of Florida, Inc. and Sunshine State Health Plan, Inc. had already terminated contracts with Univita effective August 1, 2015.

Sunshine State Health Plan, Inc.

For Prior Authorizations: 1-866-796-0530

For Provider Contracting: 1-813-284-1322

United Health Care of Florida, Inc.

Prior Authorizations:

Phone: 1-866-604-3267

Fax: 1-866-607-5975

For Provider Contracting: 1-877-842-3210

 

The Agency for Health Care Administration is committed to its mission of providing “Better Health Care for All Floridians.” The Agency administers Florida’s Medicaid program, licenses and regulates more than 45,000 health care facilities and 34 health maintenance organizations, and publishes health care data and statistics at www.FloridaHealthFinder.gov.  Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter (@AHCA_FL) and YouTube (/AHCAFlorida).

 

Agency for Health Care Administration  |  2727 Mahan Drive, Tallahassee, FL 32308  |  http://ahca.myflorida.com

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