October 2020
Medicaid Open Enrollment
for Regions 9 & 11 is Oct 1-Nov 30
Medicaid Open Enrollment—a time in which Medicaid recipients may change health care plans without a state approved “good cause” reason—is October 1 through November 30, 2020 for those in regions 9 and 11, which is Miami-Dade, Monroe, Palm Beach, Martin, St. Lucie, Okeechobee, and Indian River counties.

While individuals may seek Medicaid coverage throughout the year, based on need and qualifications, Open Enrollment for Florida’s Statewide Medicaid Managed Care program happens once a year for all current recipients during the same period, and according to their region. This Open Enrollment period takes place regardless of when a recipient first became eligible, were assigned to a plan, or voluntarily joined a plan. 
  
Enrolling in a plan is done by going online to the Florida Medicaid Choice Counselor’s website, calling the 24/7 Automated Phone System with a Medicaid PIN at 1-877-711-3662, or calling the Medicaid Choice Counselors at 1-877-711-3662 Monday through Thursday, 8 a.m. to 8 p.m. and Friday 8 a.m. to 7 p.m. TDD users ONLY call 1-866-467-4970.
 
Applying for and qualifying for Medicaid is managed by the Department of Children and Families. Applications are made in person, online, or by phone. To locate a Florida Access Service Center, visit their website. To find a community partner, visit this link . To apply online, go to Access Florida. To contact DCF by phone: 850-300-4323, Florida Relay 711 or TTY 1-800-955-8771.
Welcome to the New Providers in our Network
Associates in Rehab
PT, OT & Speech
Miami, FL
305-552-9505
 
Jim Francois, DPM
Podiatry
North Miami Beach, FL
941-629-3535
 
NJC Foot & Ankle Specialists 
Podiatry
Miami Shores, FL
305-603-7650
 
Percy Lee Nelson DPM
Podiatry
Aventura, FL
305-466-9498

Ryan Medina Oakley DPM
Podiatry
Miami, FL
305-930-7934

Community Health & Wellness Center
PCP & Multi-Specialty Group
Miami, FL
305-541-5245

Jorge Fernandez-Sanchez, MD
OB/GYN
Hialeah, FL
305-819-1104

Treasure Coast Medical Associates
Urgent Care Center
Jensen Beach
772-692-8082

Treasure Coast Medical Associates
Urgent Care Center
Ockeechobee, FL
888-425-0331

Yohandy Fuentes, DPM
Podiatry
Miami, FL
305-922-7374

Kenneth Stubbe, MD 
OB/GYN
Hialeah, FL
305-827-5890
Correct or Void a Previously Submitted Claim
To review our process for correcting or voiding claims, click here.
Telehealth Services
Did you know that you can now use telehealth to provide important services for your patients? Impact patient access to care while improving your practice quality outcomes using telehealth!


If you have questions, call Provider Services at 1-844-243-5188
Triple Aim Coding
This Triple Aim Coding Tip Sheet gives providers a quick guide to the CPT codes that can be used to meet the specifications for HEDIS, EPSDT, and Access to PCPs. In addition, the tip sheet provides guidance on which telehealth modifiers can be used if the visit is conducted using interactive audio and video. Also consider completing other screenings or immunizations during this same visit. 
Virtual Events in October
10/3/2020
9:00 a.m. – 2:00 p.m.
Run For The Cure Virtual 5K
Soca Run Festival

10/12/2020
3:00 – 3:30 p.m.
BeStrong Intl: "Keeping our Youth Safe on Social Media"

10/13/2020
6:30 – 7:00 p.m.
BeStrong Intl: "Encouraging Youth About Avoiding Risky Sexual Behavior"
Meeting ID: 889 8900 6876
Passcode: 550022

10/14/2020
1:00 – 1:30 p.m.
BeStrong Intl: "Keeping our Youth Safe on Social Media"
Meeting ID: 865 2360 2651
Passcode: 981094
10/15/2020
5:30 – 6:30 p.m.
Virtual Community
Health Event
Healthier Boynton Beach
Passcode: F69MCz

10/16/2020
2:00 – 2:30 p.m.
Mental Wellness by Camila: “Mindfulness” 
Meeting ID: 421 505 1336
Passcode: wellness

10/17/2020
10:00 a.m. – 1:00 p.m.
Virtual Community event and Health Fair program
Haitian American Nurses Association
10/19/2020
6:00 – 7:00 p.m.
Back to School with
Covid-19

10/22/2020
7:30 – 8:30 p.m.
Virtual Community
Health Event
Bridges of Pahokee
Passcode: E2cSsT

10/29/2020
6:00 – 7:00 p.m.
Virtual Community
Health Event
Milagro Center
Passcode: jS2k42
Call Provider Services
1-844-243-5188
STAY CONNECTED!
To view more provider resources, click here.