Provider Type(s): ALL
Hurricane Ian -- Key Medicaid Information for Fee-For-Service and Managed Care Providers
It is imperative Florida Medicaid recipients maintain access to critical Medicaid services that are life sustaining (examples include; durable medical equipment and supplies, home health services, hospital services, nursing facility services, chemotherapy, dialysis services, etc.) (herein referred to as critical Medicaid services) during the disaster period. To this end, the Agency will ensure reimbursement for critical Medicaid services that are provided in good faith to eligible recipients who reside in the counties impacted by Hurricane Ian.
Please keep providing services:
- The Agency will waive all prior authorization requirements for critical Medicaid services beginning September 27, 2022, until further notice.
- Early prescription refill edits have been lifted for all maintenance medications (this does not apply to controlled substances).
- If a recipient requires critical Medicaid services beyond limits stated in policy in order to maintain safety and health, providers can furnish the service.
- All Preadmission Screening and Resident Review (PASRR) processes are postponed until further notice by the Agency.
- Retroactively performed screenings or resident reviews must document the reason for delay in the completion of PASRR requirements.
- The PASRR process is waived for recipients who are evacuated due to an evacuation order or power outage and are admitted and discharged during the storm.
Additional information for providers is located on the Agency website, http://www.ahca.myflorida.com/: click the Hurricane banner at the top of the page for more information.
Governor Ron DeSantis’ emergency executive orders, including impacted counties, is located online at: https://www.flgov.com/2022-executive-orders
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