Florida Medicaid Id Number Lookup

Date:

How Do I Find My Main Doctors Name And Phone Number Its Not On The Card Same With My Dentist How Do I Get This Information

8-18-2014 Medicaid Billing for New Therapists Providers – Morning Session
  • If you get your services through Medicaid medical or dental plans, you can get the name and phone number of your main doctor or dentist by calling your plan.
  • If you donât know your planâs email address or phone number, call the number below. You also can get your planâs phone number and mailing address on YourTexasBenefits.com.

Phone

  • Click Medicaid & CHIP Services in the Quick Links section.
  • Click View services and available health information.
  • Click Medicaid Benefits at the top of the page. This section lists the name, phone number and address for your main doctor. You can print a map and directions to your doctorâs office. Your medical and dental plan information is available on the card printout.
  • Note:

    • If you are 20 or younger, youâll need to call your dental plan to find out about services or to get your dentistâs phone number and email address.
    • If you are 21 or older, you donât have a Medicaid dental plan. For answers to questions about Medicaid dental services, call your Medicaid medical plan.

    What If I Dont Want My Medicaid Doctors And Providers To See My Health Information Through This Website

    You can âopt outâ of sharing. âOpt-outâ means that you choose not to share your health information. To opt out, go to and then:

  • Click Log In in the upper-right corner.
  • Enter your user name and password. If you donât have an account, click Create a new account and follow the instructions.
  • Click Medicaid & CHIP Services in the âQuick Linksâ section.
  • Click View services and available health information.
  • Find your name, and click Donât Share Facts about my Health in the âShare Facts About My Healthâ tab.
  • You can also opt out by calling 800-252-8263. If you opt out, we wonât share your health information with Medicaid doctors or other providers.

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    Missed Or Canceled Appointments

    When members do not show up for a scheduled appointment, it creates an unused appointment slot that could have been used for another member. It is very important to keep appointments and call the provider in advance if you cannot make it to a scheduled appointment. Medicaid providers cannot bill a member for no-show/missed appointments. However, a provider may discharge a member from their practice after so many no-show/missed appointments. The provider must have the same policy for Medicaid members as non-Medicaid members, and must notify Medicaid members that the policy exists.

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    Unitedhealthcare Connected General Benefit Disclaimer

    This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

    You can get this document for free in other formats, such as large print, braille, or audio. Call Member Services, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.

    You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

    Language Line is available for all in-network providers.

    Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al Servicios para los miembros, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

    Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

    Can A Single Person Get Medicaid In Florida

    Coventry Healthcare Of Florida Medicaid

    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.

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    Submit Your Application Online

    If you wish to apply online, access the CMS.gov website. Check the Medicare enrollment resources for providers and then head over to the PECOS section 2. Before filling out your application, itâs necessary to register for a national provider identifier. All health care providers based in the U.S. are required to have this unique identification number.

    If you already have a national provider identifier, you can apply for a Medicaid provider number right away. Simply create a user account and fill out the enrollment form. You will need to provide an email address, enter a password and confirm your identity. Your application will be approved or declined within 45 days. Paper-based enrollment, on the other hand, takes about 60 days.

    • If you wish to apply online, access the CMS.gov website.
    • Before filling out your application, itâs necessary to register for a national provider identifier.

    How Will I Get And Use My Member Id Card

    Always show your new member ID card to health care providers so they can quickly access your health plan benefits and help you get the most value from your plan. If youre new to Florida Blue, you’ll receive a member ID card with your plan documents after you’ve made your first payment. If youre already a member and currently have a plastic Florida Blue ID card with a magnetic stripe, your benefit information will automatically be updated on the effective date of your new coverage. And remember: only the primary policyholders name will show on the card even if your plan covers your whole family.

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    What Is A Medicare Provider Number

    A Medicare/Medicaid Provider Number verifies that a provider has been Medicare certified and establishes the type of care the provider can perform. This identifier is a six-digit number. The first two digits specify the state in which the provider is located, and the last four digits indicate the type of facility. For Ambulatory Surgery Centers, the MPN is 10 digits with the first two digits representing the state where the surgery center is located.

    MPN is also known as an OSCAR Number, Medicare Identification Number, and Provider Number.

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    Mandatory Waiver Provider Training

    Florida Medicaid HCBS | Navigating the Program

    This notice is to inform all providers of services to individuals on an Ohio Department of Medicaid home and community-based services waiver of mandatory training on incident management. An incident is an alleged, suspected or actual event that is not consistent with the routine care of, and/or service delivery to, an individual enrolled on an ODM waiver.

    The mandatory training can be viewed at In addition, upon entering into a Medicaid provider agreement, and annually thereafter, all providers must acknowledge in writing they have reviewed Ohio Administrative Code Rule 5160-45-05 Ohio department of Medicaid -administered waiver program: incident management system, which can be found at

    Questions may be directed to ODMs contracted Provider Oversight Contractor, Public Consulting Group at 1-877-908-1746.

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    Not Enrolled To Medicaid Heres How To Apply

    If you have not yet enrolled yourself and/or your family, there are multiple methods you can use to enroll in Medicaid. Your first option is to enroll yourself and/or your family by going online and filling out an application for yourself and/or your family at the Health Insurance Marketplace. There you can follow the steps to create an account and provide your information such as whether or not you have a disability, your income level, and enroll any minor dependent children you have in health coverage programs such as the Childrens Health Insurance Program, otherwise known as CHIP.

    Another method you can use to enroll in the Medicaid program is to directly contact your states Medicaid agency. You can find the agency contact information you need by visiting the Healthcare website. Scroll down to the state in which you reside, and you will be taken to the website of your local Medicaid agency. There you will be provided with telephone numbers for your local Medicaid agency which you can call during normal business hours in order to check if you and/or your family qualify for Medicaid.

    When Can I Get My Medicare Number

    When youre enrolled in Medicare, youll get your red, white, and blue Medicare card in the mail. If youre automatically enrolled, youll get your red, white, and blue Medicare card in the mail 3 months before your 65th birthday or your 25th month of getting disability benefits.

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    Where Can I Find Information About A Nursing Homes Health Or Fire

    Health and fire-safety inspections with detailed and summary information about deficiencies found during the three most recent comprehensive inspections and the last three years of complaint investigations are found on the Medicare.gov Nursing Home Compare website.

    Nursing Home Compare allows consumers to search for a nursing home based on location and compare the quality of care they provide and their staffing. Nursing Home Compare has detailed information about every Medicare and Medicaid-certified nursing home in the country.

    For information about Louisiana nursing homes or any other nursing home inquiry, contact the LDH Health Standards Section, Nursing Home Program Desk at 225-342-0114 or visit the Louisiana Nursing Home Association website. Nursing home providers are required to post the results of their most recent inspection in the facility.

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    National Provider Identifier Standard

    Eligibility Inquiry

    The National Provider Identifier is a Health Insurance Portability and Accountability Act Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier . This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.

    As outlined in the Federal Regulation, The Health Insurance Portability and Accountability Act of 1996 , covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes.

    More detailed information is available on the pages listed in the left hand column of this page.

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    What Is Medicaid In Florida

    Medicaid is a federal and state health insurance program for people with a low income.

    It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.

    The Childrens Health Insurance Program offers health coverage to children in families with incomes too high to qualify for Medicaid, but who cant afford private coverage.

    The Medicaid program is different in every state. The federal government sets the general guidelines and each state decides how to run the program.

    Florida implemented the Medicaid program on January 1, 1970, to provide medical services to low-income people.

    The Florida State Legislature determines who qualifies for Medicaid, what services will be covered, and how much to pay for the services.

    The state agency that administers Florida Medicaid is the Agency for Health Care Administration .

    Will Medicaid Provide Payment For A Family Member Who Needs Nursing Home Care

    Louisianaâs Medicaid Program provides payment for special long term care support services, as well as full Medicaid health coverage, to eligible people who, because of their medical condition, require assistance with activities of daily living . Long-term care supports may be provided either in a facility or in an individualâs own home or in the community. Visit Medicaid Long-Term Care.

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    Nc Medicaid Managed Care Started July 1 2021

    NC Medicaid Managed Care health plans are now active. This means that you will now get care through your health plan. If you have questions about benefits and coverage, call your health plan. You can find the number on your new Medicaid ID card or visit .

    You can also contact the NC Medicaid Ombudsman if you have questions or problems your health plan or provider could not answer. Call 1-877-201-3750 or visit ncmedicaidombudsman.org.

    Meetings and events

    You can schedule rides to medical appointments. Learn more about transportation services.

    Get the free mobile app

    To get the app, search for NC Medicaid Managed Care on or the App Store.

    Use the app to find and view primary care providers and health plans for you and your family. Learn more about the free mobile app at .

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    Your Member Handbook Is Your Go

    How to Enroll in Medicaid

    Your member handbook has a wealth of information to help you get the care and services you need. Please take time to look through the handbook to learn about your benefits. Youll find:

    • Important phone numbers
    • How to get health care services
    • Your rights and responsibilities as a member
    • Which services are covered and which are not
    • How to get help with appointments
    • How to find a doctor or a pharmacy

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    How Do I Get A New Medicare Card If My Card Is Lost Stolen Or Damaged How Do I Change My Contact Information

    If your Medicare card was lost, stolen, or destroyed, you can ask for a replacement by using your online my Social Security account, even if you don’t yet receive Social Security benefits. If dont already have a Social Security on-line account, you can create one online. Go to .

    Once you are logged in to your account, select the “Replacement Documents” tab. Then select Mail my replacement Medicare Card.Your Medicare card will arrive in the mail in about 30 days at the address on file with Social Security.If you cant or prefer not to use the online service:

    • Call us at 1-800-772-1213 , Monday through Friday, from 7 a.m. to 7 p.m. or

    Do You Need More Help

    If you arent sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the states Automated Voice Recognition System at 1-855-828-4995 with your Recipient Identification Number .

    If you have an urgent medical need and need Medicaid quickly, call the DHS Helpline at 1-800-843-6150.

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    Medicaid And Child Welfare Specialty Plan

    Until the actual date of enrollment with Sunshine Health, Sunshine Health is not financially responsible for services the prospective member receives. In addition, Sunshine Health is not financially responsible for services members receive after coverage is terminated. However, Sunshine Health is responsible for anyone who is a Sunshine Health member at the time of a hospital inpatient admission and changes health plans during that confinement.

    S To Verify Eligibility

    Florida Medicaid
    • Providers are asked to verify member eligibility by using the Sunshine Health secure provider portal. Using the portal, any registered provider is able to quickly check member eligibility by indicating the date of service, member name, and date of birth or the Medicaid ID number and date of birth.
    • Providers may call Provider Services at 1-844-477-8313. Providers are asked to supply the members name and date of birth or the members Medicaid identification number and date of birth.

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    What Is Medicaid Policy Number

    Your Medicaid number also known as a recipient number or individual number is a 9-digit number than can be found on the Your Texas Benefits card. Doctors and pharmacies use this number for billing. Your case number can be found on letters you receive from HHSC or you may also request it from a rep at 211.

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    How Do I Find My Florida Medicaid Number

    Your Florida Medicaid identification number is not listed on your gold card. Your Florida Medicaid number is kept in your Florida Medicaid file.

    Any Medicaid provider can use your gold card or health plans membership card to check the Florida Medicaid file to find out if you are eligible for Florida Medicaid services.

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    What If I Think A Decision You Make Is Unfair Incorrect Or Made Too Late

    You have the right to appeal the Medicaid decision. There are several ways to request an appeal. You can write the reason you disagree with the decision on the back of the decision letter and then mail or fax it to Medicaid as directed on the letter. You can also fax the decision letter to the Division of Administrative Law at 225-219-9823 or mail it to the Division of Administrative Law, Department of Health Section, P. O. Box 4189, Baton Rouge, LA 70821-4183. You can request an appeal by phone by calling Medicaid Customer Service at 1-888-342-6207 or the Division of Administrative Law at 225-342-5800.

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