Telemedicine Well-Child Visits for Children Older than 24 Months Through 20 Years
The Agency understands that well-child visits are just as important as sick visits to ensure children receive quality care at their medical home. Florida Medicaid reimburses for well-child visits in accordance with the recommended schedule developed by the American Academy of Pediatrics. To promote health and wellness through preventive care during the COVID-19 state of emergency, the Agency is expanding telemedicine to include well-child visits.
Providers may render a well-child visit using telemedicine (live/two-way communication that includes audio and video) during the state of emergency for children older than 24 months through 20 years for the following procedure codes:
Providers must append the GT modifier for live, two-way communication. The Agency and the Medicaid health plans will reimburse at the same rate as if the service was delivered face-to-face.
Though it may be necessary to conduct a well-child via telemedicine, it is the Agency’s expectation that providers actively work to schedule a follow-up visit to administer immunizations and other physical components of the exam that could not be delivered using telemedicine. Immunizations are critical to reducing and eliminating preventable diseases. Immunizations should be scheduled as soon as possible to ensure children can remain on schedule for these important services. The follow-up visit will be eligible for Medicaid reimbursement. Additional guidance will be forthcoming regarding the follow-up visit to render the remaining components of the well-child visit (i.e., a comprehensive physical exam and/or immunizations) .
Well-Child Visits for Children 24 Months and Younger
In accordance with the American Academy of Pediatrics guidance, providers should prioritize in-person newborn care, newborn well-visits, and immunization of infants and young children through 24 months of age. Therefore, Florida Medicaid will not reimburse for well-child visits performed via telemedicine for children ages 24 months and younger.
This information has been adapted from Statewide Medicaid Managed Care Policy Transmittal: 2020-34 sent on May 29, 2020. Read the full alert here.
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Welcome to the New Providers in our Network
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Berto Lopez, MD
High Risk OB/GYN
Palm Beach Lakes, FL
561-616-3939
Juan C Perez-Morales, MD
Infectious Disease
Miami, FL
305-395-1441
Angel Ramos, MD
Nephrology
Boca Raton, FL
561-235-5621
ICBEYOND Children & Family Services
Boynton Beach, FL
561-247-2349
Mia Therapy Pro Inc
Primary Care Clinic
Cutler Bay, FL
786-370-8729
Heme Onc Call
Hematology/Oncology
Miami, FL
305-458-1384
Florida Electrophysiology Associates
Atlantis, FL
561-434-0353
Jeffrey Alperstein, MD
ENT and Allergy Associates
Jupiter, FL
561-776-4950
Miami ASC LP
Endoscopy Center
Coral Gables, FL
305-461-1881
GastroMed LLC
Gastroenterology
Miami, FL
305-262-6060
My Home Doctor
Coral Gables, FL
888-696-4322
Shekinah Family Medical Centers
Pahokee, FL
561-446-4312
Podiatry
Doral, FL
305-459-3970
North Lake Care Center
Skilled Nursing Facility
Lake Park, FL
561-881-3204
Daniel Zaluzec, MD
Ear, Nose, and Throat
Port St. Lucie, FL
772-337-0072
Coral View Surgery Center
Miami, FL
305-226-5574
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Correct or Void a Previously Submitted Claim
To review our process for correcting or voiding claims, click here.
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Remind your Miami Children's Health Plan patients they have access to these great benefits!
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Teladoc can connect your patients to a doctor by phone or video 24/7. Teladoc is great for common colds and flu, rashes, and minor injuries. Teladoc doctors can also order medicine at their local drug store, and let you know about the care your patient received.
Tell your patients to go to:
1-800-835-2362
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Tell your patients to go to:
877-631-2550
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Medicaid Provider Funding Announcement - Act Now!
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Update: Deadline Extended
Federal COVID-19 relief funding is available for Medicaid and CHIP providers. Federal HHS has launched a Provider Relief Fund Payment Portal that will allow eligible Medicaid and CHIP providers to report their annual patient revenue. This will be used as a factor in determining their Provider Relief Fund payment. The payment to each provider is expected to be at least 2 percent of reported gross revenue from patient care. Restrictions apply, and providers should carefully read the posted materials.
The application deadline has been further extended to offer providers additional opportunity to apply for funding. You must act by Friday, Aug. 28, 2020 at 11:59 p.m. ET to be considered for payment from this distribution. Read more about the extension here.
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Open Enrollment is Oct 1 – Nov 30
Miami Children's Health Plan open enrollment is October 1 – November 30. During that time Medicaid recipients can switch to Miami Children’s Health Plan.
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Call Provider Services
1-844-243-5188
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