Newsletters and Updates
Provider alerts
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April 26, 2023
Sign-up for eviCore Healthcare’s training for new prior authorization requirements! (PDF) -
April 22, 2023
Medicaid Redetermination (PDF) -
April 22, 2023
Changes to Preferred Drug List (PDL) effective April 1, 2023 (PDF) -
April 14, 2023
Update: Continuous glucose monitors and Omnipod 5 and Dash pods coverage and quantity limit (PDF) -
March 31, 2023
eviCore prior authorization (PDF) -
March 23, 2023
Change Healthcare User Guide link updates (PDF) -
February 20, 2023
AmeriHealth Caritas Florida collaborates with Andros, a credentialing verification organization (PDF) -
January 6, 2023
Changes to Preferred Drug List (PDL) effective January 1, 2023 (PDF)
Previous provider alerts
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November 7, 2022
Prior authorizations for AmeriHealth Caritas Florida will be processed in NaviNet (PDF) -
October 24, 2022
COMPASS referral program — PCP (PDF) -
October 24, 2022
COMPASS referral program — Specialist (PDF) -
October 10, 2022
Changes to preferred drug list (PDL) effective October 1, 2022. (PDF) -
October 7, 2022
Update: Continuous glucose monitors and Omnipod 5 pods coverage and quanity limit (PDF) -
August 29, 2022
Transition from Availity to NaviNet, our new payer-provider platform, starts October 3, 2022. (PDF) -
August 18, 2022
Medicaid provider minimum wage fee schedule increases and supplemental wage agreement — Florida Medicaid health care alert (PDF) -
July 18, 2022
Changes in Preferred Drug List (PDL) effective July 1, 2022 (PDF) -
May 2, 2022
Change in behavioral health service authorization effective June 1, 2022 (PDF) -
April 27, 2022
Change in radiology utilization management vendor effective June 1, 2022 (PDF) -
April 25, 2022
Expanded telehealth options for members through MDLIVE effective June 1, 2022 (PDF) -
April 22, 2022
COVID-19 over-the-counter at-home test kits (PDF) -
April 22, 2022
Changes to Preferred Drug List (PDL) effective April 1, 2022 (PDF) -
February 15, 2022
Taxonomy codes FAQ's and tips reminder (PDF) -
February 1, 2022
Taxonomy codes FAQ's and tips (PDF) -
January 11, 2022
Changes to Preferred Drug List (PDL) effective January 1, 2022 (PDF) -
January 6, 2022
Free buprenorphine CME training opportunities for OB providers (PDF)
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December 27, 2021
NPI Crosswalk Enhancement (PDF) -
December 6, 2021
AHCA COVID-19 update (PDF) -
December 2, 2021
Monthly Jiva training sessions offered via webinar at no cost (PDF) -
November 30, 2021
Statewide Medicaid Managed Care (SMMC) policy transmittal 2021-31 monoclonal antibody COVID-19 infusion (PDF) -
November 22, 2021
AHCA Continuing Medical Education (CME) Opportunity for Providers Screening, Brief Intervention, and Referral to Treatment (SBIRT) (PDF) -
November 1, 2021
Seasonal influenza testing policy (PDF) -
October 18, 2021
Changes to preferred drug list (PDL) effective October 1, 2021 (PDF) -
September 10, 2021
Update: Continuous glucose monitor and Omnipod Dash® pods coverage and quantity limit (PDF) -
September 1, 2021
Continuous glucose monitor and insulin pumps and quantity supply update (PDF) -
August 30, 2021
COVID-19 vaccine incentive program extended through September 30, 2021 (PDF) -
August 18, 2021
COVID-19 vaccine incentive program for providers and members (PDF) -
July 19, 2021
Reinstatment of prior authorization and service limits for behavioral health services (PDF) -
July 9, 2021
Changes to preferred drug list (PDL) effective July 1, 2021(PDF) -
May 26, 2021
Reminder: Prestige Health Choice Rebranding to AmeriHealth Caritas Florida (PDF) -
May 24, 2021
Updated 2021 MPIP Pediatric E&M Medicare Rates (PDF) -
May 24, 2021
Screening, Brief Intervention, and Referral to Treatment (SBIRT) Billing Codes and Updated Rates (PDF) - March 26, 2021
Important updates and reminders (PDF)
- February 2, 2021
COVID-19 vaccine update (PDF)
- November 10, 2020
Prior authorization lookup tool (PDF) - November 6, 2020
Behavioral health Optum transition (PDF) - October 22, 2020
Changes to preferred drug list (PDL) effective October 1, 2020 (PDF) - September 8, 2020
Care gaps update (PDF) - September 1, 2020
Member benefit change - chiropractic services (PDF) - August 19, 2020
Prenatal notification form (PDF) - July 30, 2020
Changes to preferred drug list (PDL) effective July 1, 2020 (PDF) - July 1, 2020
In-office lab tests update (PDF) - June 10, 2020
Changes to preferred drug list (PDL) effective April 1, 2020 (PDF) - April 24, 2020
- PDL update - ranitidine recall (PDF)
- April 9, 2020
Early Intervention Services (EIS) billing guide (PDF) - April 7, 2020
PASRR requirement for members residing in a nursing facility (PDF) - March 25, 2020
Early Intervention Services codes and modifiers (PDF) - March 13, 2020
Coronavirus disease (COVID-19) update 2 (PDF) - March 5, 2020
Coronavirus disease (COVID-19) update (PDF) - February 28, 2020
PASRR requirement for members residing in a nursing facility (PDF) - February 28, 2020
UM fax number changes (PDF) - January 29, 2020
Non-emergency transportation (PDF) - January 14, 2020
Changes to preferred drug list (PDL) effective October 1, 2019 (PDF)
- December 19, 2019
Important Updates and Reminders (PDF) - November 7, 2019
Opioid use disorder eLearning module (PDF) - October 25, 2019
Changes to preferred drug list (PDL) effective October 1, 2019 (PDF) - September 16, 2019
Hepatitis A Vaccine Update (PDF) - August 30, 2019
Corrected claim submission time frame change (PDF) - July 22, 2019
Changes to preferred drug list (PDF) effective July 1, 2019 (PDF) - July 1, 2019
Provider appeal time frame change (PDF) - June 14, 2019
Inpatient claims update (PDF) - February 19, 2019
Referring, Ordering, Prescribing, or Attending (ROPA) practitioner’s name and NPI required on claims for specific services (PDF) - January 1, 2019
HEDIS® medical record review reminder (PDF)