Florida Medicaid Change Plan Phone Number


Unitedhealthcare Dual Complete Plans

medicare florida contact number – compliance tips for florida medicaid providers

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

What Does Health Insurance Cover

Health insurance aims to provide the best facilities of healthcare to its members. They cover most expenses that are hard to afford. These benefits are divided into plans designed by insurance companies to facilitate specific treatments or services.

Health insurance covers all the medical costs based on the plan put forward by experts and medical professionals. These include:

Medical checkups

Laboratory and other diagnostic tests

Preventive and wellness services

Other services are specific to certain conditions provided by the insurance companies.

What Is Not Covered

Medicaid is a public health program. There are certain limitations of coverage set by the federal and state governments where the program will not pay for the cost. The services that Medicaid does not cover are:

Personal items

Mens infertility treatment

The individual has the choice to go for these services, but Medicaid will not cover the cost.

You can contact the Florida Medicaid phone number to know other services that are not covered by Florida Medicaid.

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Our Member Services Departmentcan Answer Your Questions

Community Care Plan members enrolled in our Medicaid plan can contact our team for help with many services.

If you are a Community Care Plan Medicaid member, please call us at for help with:

  • Finding a provider
  • Choosing or changing your Primary Care Provider
  • Finding out if a service is covered
  • Getting referrals
  • Replacing a lost ID card
  • Planning care for the birth of a new baby
  • Explaining plan changes or benefit options
  • Answering general plan questions

Community Care Plan values your care.If you have any concerns with your childrens Physical, Occupational or Speech Therapy Services, please call Yvie Noel at 622-3272.

Member Forms & Resources

Florida State Medicaid Managed Care

Notice of Privacy Practices

We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it.

You can download a copy of our Notice of Privacy Practices below.

  • PDF 126.63KB – Last Updated: 11/12/2020

Health Plan Performance Measures

View the Agency for Health Care Administrations website where you can view our health plans performance measure results and compare with those of other health plans.

  • PDF 1.36MB – Last Updated: 04/06/2021

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Can A Single Person Get Medicaid In Florida

Unfortunately, no. That is because Florida is one of 12 states that, as of August 2020, has not expanded Medicaid eligibility as allowed under the Affordable Care Act .

This means that adults without dependents who have low income cannot qualify for Medicaid, like residents in the 38 states that have expanded Medicaid.

In Florida, if Medicaid had been expanded under the ACA, some 391,000 people who do not currently have coverage would gain coverage.

Republicans control Floridas House and Senate as well as the governors office.

Democrats in the Florida legislature have been pushing for Medicaid expansion for years, but have consistently been blocked by Republicans.

Not Sure If You Are A Member

If you are approved for Medicaid and not sure if you are a Community Care Plan member, you can speak with a choice counselor to find out which care plan you are enrolled in. If you have not picked a health plan for your pregnancy, you may have already been placed into a health plan.

If you have questions about your managed care plan, call the Choice Counseling Helpline toll-free at, TDD: , Monday through Thursday, 8 a.m.-8 p.m. Friday, 8 a.m.-7 p.m.

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How Do I Change Plans

Are you interested in becoming a Louisiana Healthcare Connections member? Here are answers to some of the common questions you might have about how to switch your Healthy Louisiana Medicaid plan.

I was recently approved for Medicaid, but I want to change my plan. How do I switch?

To change health plans by phone, call Healthy Louisiana at 1-855-229-6848 . Remember: free interpretation services are available to you if you need them.

To change plans online, . This will take you to the Healthy Louisiana secure login page. Youll be asked to enter some basic information to get started.

You can also use the Healthy Louisiana app to change plans. You can download the Healthy Louisiana app in the Apple App Store or .

I want to switch plans, but Im not a new Medicaid member. Can I do that?

You can change your Healthy Louisiana plan after the first 90 days for certain reasons. These reasons might be that your plan changed the services you need, or you cant get the kind of care you need.

You can only change plans by phone after the first 90 days. Youll need to call Healthy Louisiana at 1-855-229-6848 and ask for a transfer form.

I was told I can change plans during Open Enrollment. What is that?

Open Enrollment is a period of time held every year when you can switch plans. Youll get a letter in the mail letting you know when Open Enrollment will be. The letter will also tell you how to switch health plans. If you dont want to switch plans, you wont need to do anything.

Florida Medicaid Phone Number To Change Plan

Compliance Tips for Florida Medicaid Providers

You can call the Florida Medicaid phone number to change the plan. Medicaid provides its members the facility to contact for changing plans if it doesnt suit their medical requirements, although this is specific case-by-case situations. If you want to know whether you can change the plans or not, you can call the Florida Medicaid phone number.

However, you should be aware of the timings. For Florida Medicaid, the office timings are Monday to Thursday from 8 a.m. to 8 p.m, and on Friday from 8 a.m. to 7 p.m. The Florida Medicaid phone number is 1-877-711-3662, TDD 1-866-467-4970.

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Using Mychart Your Member Portal

As a Community Care Plan member, you have access to MyChart, our member portal. This is a secure self-service online portal where members can get personalized information about benefits and services. You can also communicate with our Member Services team.

After you sign up, you can sign into the online portal with your confidential username and password. Once you sign into the member portal, you can:

  • Order an ID card
  • Make or change appointments

What Is The Difference Between Mi Bridges And Mi Enrolls

MI Bridges is a system used to apply for state benefits. These are benefits like health coverage, cash assistance, food assistance and more. It is also the system used to update personal information.

Michigan Enrolls is where you change Medicaid health plans. You can call MI Enrolls at 888-367-6557 to get help signing up for a Medicaid plan, ask questions or change plans.

Still have questions? Contact your Medicaid health plan provider or MI Enrolls. You can also learn more through the Priority Health Medicaid learning center. Priority Health Medicaid members can learn more about their Medicaid benefits here.

N4001-09 Approved MHC04042021

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Enjoy A Gift Card From Us

MCNA rewards our members who take care of their oral health!

Parents or guardians of our Florida Medicaid Dental Health Program members can earn a $10 Amazon.com Gift Card* per child! To earn this reward, the child must see the dentist for an initial dental exam and preventive service when they join our plan. They must then go back for a follow-up dental checkup within 6 months. Adult members aged 18 and older can also earn this reward when they complete the steps listed above.

To learn more, call MCNA toll-free at 1-855-699-6262.

What Is The Eligibility For Pregnancy Medicaid In Florida

Florida State Medicaid Managed Care

A pregnant woman may qualify for Medicaid if her familys countable income does not exceed income limits.

For pregnant women who do not meet the citizenship requirements for Medicaid, there is Emergency Medical Assistance for Non-Citizens.

Furthermore, you can get Presumptively Eligible Pregnant Women , which is temporary coverage for prenatal care only.

During the temporary coverage period, while you are on PEPW, you will have to submit an application to determine if you can continue to receive Medicaid benefits during your pregnancy.

Additionally, women with family income over the limit for Medicaid may qualify for the Medically Needy Program.

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Medicaid For Aged Or Disabled

Medicaid for low-income individuals who are either aged or disabled is called SSI-Related Medicaid.

Florida residents who are eligible for Supplemental Security Income are automatically eligible for Medicaid coverage from the Social Security Administration. There is no need to file a separate ACCESS Florida Application unless nursing home services are needed.

Individuals may apply for regular Medicaid coverage and other services using the online ACCESS Florida Application and submitting it electronically. If long-term care services in a nursing home or community setting are needed, the individual must check the box for HCBS/Waivers or Nursing Home on the Benefit Information screen. HCBS/Waiver programs provide in-home or assisted living services that help prevent institutionalization.

Medicare Savings Programs help Medicare beneficiaries with limited finances pay their Medicare premiums and in some instances, deductibles and co-payments. Medicare Buy-In provides different levels of assistance depending on the amount of an individual or coupleâs income. Individuals may apply for Medicare Buy-In coverage only by completing a Medicaid/Medicare Buy-In Application.

Print the form, complete it and mail or fax it to a local Customer Service Center.

Before You Call The Florida Medicaid Phone Number

As we mentioned above, the Florida Medicaid phone lines are flooded with phone calls as a result of the fact that their offices have been closed during the pandemic.

Therefore, hold times are long when you call the phone number.

We have answered the top questions people call the Florida Medicaid Phone Number for.

Scroll down below to see if your question has been answered below.

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American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Guide To Tampa Medicaid Office Locations In Florida

Fla. denying Medicaid leaves citizens without health insurance

There are various Tampa Medicaid office locations you can visit. Whether you want to apply for Florida Medicaid benefits or you have been receiving services for the program for a while, it is important that you know where your closest office is located. In order to apply for support at one of these Tampa Medicaid offices, you need to be a legal resident in Florida.

Medicaid in Florida is managed partly by the state government. The other part of the program, however, is managed federally. This means that the Tampa Medicaid office you go to needs to adhere to Florida and federal rules and regulations. Be sure you understand these requirements before you try to apply at your Tampa Medicaid office. Otherwise, you could encounter delays with your application.

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Enroll As A Member Of Mcna Dental

If you live in Florida, you or your children may qualify for Medicaid dental care! The State of Florida will let you know that you have been assigned to one of three insurance companies to manage your dental needs.

If you are assigned to MCNA Dental, you are in luck! You will automatically have access to great dental care and and services. You will also be eligible to get an Amazon.com Gift Card after two preventive dental visits.

Do you need help choosing or changing dental plans? Medicaid has specially trained people to answer your questions and to help you enroll in the plan that best fits your needs. These people are called choice counselors and they provide services free of charge. To speak with a choice counselor, call the Statewide Medicaid Managed Care Help Line toll free at 1-877-711-3662 or visit www.flmedicaidmanagedcare.com.

Please call our Florida Member Hotline at 1-855-699-6262 if you have any questions.

Childrens Health Insurance Program

Childrens health insurance program is a type of Medicaid service that is focused on providing medical services to children younger than 17 years old.

The Childrens health insurance program covers all the benefits that a child might need. They need to fall under certain eligibility that ranges from state to state. This program is designed for children whose parents cannot afford medical treatment due to low income.

The federal and state government consider childrens health very essential as they are the future generation of the country. To better the standard of living and ensure that children grow up in a healthy environment, Medicaid provides medical services through CHIP.

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Florida Medicaid Phone Number Summary

We hope this post on Florida Medicaid Phone Number was helpful to you.

If you have any questions about Medicaid in the state of Florida, you can ask us in the comments section below.

Help us spread the word! If you found this post on Florida Medicaid Phone Number helpful, help us spread the word by sharing it using the Share this button below.

Be sure to check out our other articles about Medicaid.

What Is Florida Medicaid

Florida State Medicaid Managed Care

Florida Medicaid is a branch of the Medicaid program provided by the federal and state government to the residents of Florida. It provides healthcare services to members of Medicaid who live in Florida.

Florida Medicaid is specific to individuals and families belonging to the low-income category. It aims to improve the standard of living for poor people who are unable to afford healthcare expenses on their own.

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Unitedhealthcare Senior Care Options Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Whats Included In Thebirth Baby And Beyond Program

Our program helps pregnant Community Care Plan members with everything from finding a doctor to birth planning to baby supplies and more. We will connect you with local experts in Broward County for prenatal and postpartum care.

Our Birth, Baby, and Beyond program includes more than just health care coverage. We help mothers with many services before, during, and after pregnancy.

If you are a Community Care Plan Medicaid member, please call us at for help with:

  • Finding a doctor for you and your baby
  • Making prenatal care and postpartum appointments
  • Getting educational information about caring for your baby and safety
  • Transportation to medical appointments

For more information, you can view or download our Community Care Plan Medicaid Member Handbook.

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Florida Medicaid Phone Number

Heres how to contact the Florida Medicaid Agency:

To reach Florida KidCare, call 1-800-821-5437.

For Medicaid Applicant & Member Services, call 1-877-711-3662, TDD 1-866-467-4970.

Customer Service is available Monday through Thursday from 8 a.m. to 8 p.m. Friday from 8 a.m. to 7 p.m.

If you are not enrolled in a health plan, call the Medicaid Helpline at 1-877-254-1055.

Also, if you need help finding contact information for your Medicaid plan, call ourMedicaid Helpline at 1-877-254-1055. You can get help with:

  • Locating a doctor
  • The services your plan covers
  • Transportation to access covered services
  • Other general questions you may have

No Aca Medicaid Eligibility Expansion In Florida

Will Florida drop Medicaid coverage?

Florida is one of 12 states that has not expanded Medicaid eligibility as allowed under Affordable Care Act . The ACA doesnt provide subsidies for people with income below the poverty level, because the law called for them to have Medicaid instead. But in states that have refused Medicaid expansion people who arent eligible for Medicaid and whose income is too low for exchange subsidies are in whats called the coverage gap.


  • Children up to 1 year old: 206% of the federal poverty level
  • Children ages 1-5: 140% of FPL
  • Children ages 6-18: 133% of FPL
  • Pregnant women: 191% of FPL
  • Adults with dependent children: 27% of FPL

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How To Choose Your Pregnancy Care Plan

Once you are approved for Medicaid, you will be able to choose the right health plan for you and your baby.

The easiest way to do this is by calling the Choice Counseling Helpline toll-free at .A counselor will help you choose your care plan or switch to a plan provider.

For more information, visit this page on How to Enroll in a Medicaid Health Plan.

History Of Floridas Medicaid Program

Florida was one of the later states to implement a Medicaid, not adopting the program until January of 1970 .

Florida Medicaid spending grew 13.5% on average every year between 1980 and 2004. In an effort to slow that trend, Florida applied for and received approval for an 1115 waiver for its Medicaid Reform pilot. The pilot implemented managed care in two counties in 2006 and added three more counties in 2007 the waiver was extended several times.

In 2013, the federal government approved an amendment for statewide expansion of managed care the amendment also renamed Medicaid Reform as Managed Medical Assistance . Ninety percent of all Florida Medicaid beneficiaries are now enrolled in managed care plans, like health maintenance organizations . The state hopes to improve quality through better coordination of care and save money through smaller networks of providers.

Part of the reason Medicaid enrollment has grown is the extensive outreach on the part of ACA navigators some residents were already eligible for Medicaid or CHIP prior to 2014 , but werent aware of their eligibility until enrollment outreach efforts under the ACA. But since Florida hasnt expanded Medicaid, the newly insured population is covered according to the normal state/federal split.

Floridas decision not to expand Medicaid leaves nearly 400,000 people in the state in the coverage gap ineligible for Medicaid and also ineligible for tax subsidies to help them afford private health insurance .

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