To request precertification for Simply Medicaid, Clear Health Alliance and Florida Healthy Kids:
• Phone: 1-844-405-4296
• Fax: 1-800-964-3627
To request precertification for Medicare Advantage:
• Phone: 1-844-405-4297
• Fax: 1-866-959-1537
Check our preferred drug list
Services billed with the following revenue codes ALWAYS require precertification:
0632 — Pharmacy multiple sources
Precertification is not required for physician E&M services for members of the Medicare Advantage Classic plan.
Providers needing an authorization should call 1-877-440-3738.
The following ALWAYS require precertification:
Elective services provided by or arranged at nonparticipating facilities
All services billed with the following revenue codes:
0023 — Home health prospective payment system
0570–0572, 0579 — Home health aide
0944–0945 — Other therapeutic services
3101–3109 — Adult day and foster care
To request or check the status of a precertification request or decision, please login to Availity.
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