Together, We Can Do It!

In advance of potential impacts from Hurricane Ian, Gov. DeSantis issued a statewide state of emergency on September 23, 2022 (click the picture above for details). Please see the below responses from the health plans that are allowing flexibilities during the state of emergency. Be advised that payment is still subject to medical necessity.

CarePlus authorizations are being waived for SNF admission. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

CarePlus will resume normal process once the aftermath passes.

Waiver ended 10/10/2022.

This waiver covers Sunshine Medicaid members authorization is being waived for SNF admission for specific counties: Charlotte, Collier, Desoto, Glades, Hendry, Lee, and Sarasota.

Authorization request needs to be initiated and notification to plan needs to happen once member has admitted.

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This waiver covers

Wellcare members.

Sept 26 - Oct 12, 2022. Authorization request needs to be initiated and notification to plan needs to happen once member has admitted.

Waiver ended 10/12/2022.

View notice here.

This waiver only applies to Cigna Commercial lines of business. Authorizations are being waived for SNF admission for in and out of network providers from Sept 26 - Oct 10, 2022. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

Cigna will resume normal process once the aftermath passes.

View notice here. 

Waiver ended 10/10/2022.

This waiver only applies to Florida Blue lines of business. Authorizations are being waived for SNF admission. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

View Medicare notice here.

View Commercial notice here.

This waiver applies to Freedom and Optimum health plans. Authorizations are being waived for SNF admission. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

Freedom and Optimum will resume normal process once the aftermath passes. 

Waiver ended 10/5/2022.

Health First Health Plans authorizations are being waived for SNF admission

Sept 28 - Oct 2, 2022 for both in and out of network providers. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

Health First will resume normal process once the aftermath passes.

Waiver ended 10/2/2022.

Humana authorizations are being waived for SNF admission for specific counties: Charlotte, Collier, Lee, Sarasota, and Volusia until Oct 25, 2022. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

Payment is still subject to Medicare coverage guidelines and medical necessity.

Humana Medicaid please visit here for updates. 

All prior authorizations for critical services are being waived during the duration of the emergency order for all providers.

Please initiate authorization request and notify plan of admission. Payment is still subject to Medicare coverage guidelines and medical necessity.

Simply authorizations are being waived for SNF admission. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

Simply will resume normal process once the aftermath passes. 

Simply Medicaid please visit here for updates. 

United Healthcare UHC authorizations are being waived for SNF admission for dates of service Sept 26 - Oct 5, 2022. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted.

View UHC waiver details here.

Waiver ended 10/5/2022.

Ultimate Health Plans authorizations are being waived for SNF admission. Authorization request needs to be initiated, and notification to plan needs to happen once member has admitted. 

Ultimate Health Plans will resume normal process once the aftermath passes.