FLORIDA MEDICAID PROVIDER HANDBOOK AND RESOURCE LIBRARY

2005 Release 1.0


 

Table of Contents
Medicaid Provider General Handbook Medicaid Coverage and Limitations Handbooks
Medicaid Provider Reimbursement Handbooks Developmental Services Provider Rate Table
Fee Schedules for 2005 Fee Schedules for 2004
Provider Notices Email Alert Notification System and Archive
Summary of Services Provider Bulletins
Adobe Acrobat Reader is required to view these documents. If you do not have Adobe Acrobat Reader, you can download it for free at the following web site: http://www.adobe.com/products/acrobat/readstep.html Get Adobe Reader

 

Medicaid Provider Handbooks

All Providers

Medicaid Provider General Handbook, Updated January 2004

Top

Medicaid Coverage and Limitations Handbooks

Advanced Registered Nurse Practitioner Services, Updated January 2005

Aged and Disabled Adult Waiver Services, March 2004

Ambulatory Surgical Center Services, Updated January 2005

Assistive Care Services and Assisted Living for the Elderly Waiver, July 2001

Birth Center and Licensed Midwife Services, Updated January 2005

Child Health Check-Up (formerly EPSDT), October 2003

Chiropractic Services, Updated January 2005

Community Behavioral Health Services, October 2004

County Health Department Certified Match Program, October 2003

County Public Health Department Clinic Services, October 2003

Dental Services, Updated January 2005

Developmental Services Waiver, October 2002

Durable Medical Equipment - Medical Supplies, March 2003

Early Intervention Services, October 2003

Federally Qualified Health Centers, October 2003

Freestanding Dialysis Centers, February 1999

Hearing Services, Updated January 2005

Home Health Services, October 2003

Hospice Services, Updated January 2005

Hospital Services, Updated January 2005

Independent Laboratory Services, Updated April 2005

Intermediate Care Facility for the DD, October 2003

Medicaid Certified School Match Program, October 2003

Medical Foster Care, October 2003

Mental Health Targeted Case Management, April 2002

Nursing Facility Services, October 2003

Optometric Services, January 2005

Physician Assistant Services, Updated January 2005

Physician Services, Updated January 2005

Podiatry Services, Updated January 2005

Portable X-Ray Services, Updated January 2005

Prescribed Pediatric Extended Care Centers, October 2003

Project AIDS Care Waiver Services, Updated January 2005

Registered Nurse First Assistant, Updated January 2005

Rural Health Clinic Services, October 2003

State Mental Health Hospital, July 1997

Therapy Services, October 2003

Visual Services, Updated January 2005

Medicaid Provider Reimbursement Handbooks

CMS 1500, October 2003

Dental 111, October 2003

Institutional 021, October 2003

Non-Institutional 081, October 2003

Prescribed Drug Services, July 2001

Transportation, July 1997

UB-92, April 2004

Top

Fee Schedules and Rates

Developmental Services Provider Rate Table – PDF Version

Fee Schedules for 2005 (This list is not all inclusive. If your fee schedule is not listed, it is included in your Coverage and Limitations Handbook.)

All Fee Schedules ZIP File (this file contains all fee schedules for 2005)

Advanced Registered Nurse Practitioner – Excel version   ASCII version   PDF version

Ambulatory Surgical Centers – Excel version   ASCII version   PDF version

Birth Center – Excel version  ASCII version  PDF version

Chiropractic – Excel version  ASCII version  PDF version

Dental General – Excel version  ASCII version  PDF version

Dental Injectable Medications – Excel version  ASCII version  PDF version

Dental Oral and Maxillofacial Surgery – Excel version  ASCII version  PDF version

Durable Medical Equipment Code Replacement Crosswalk – PDF version

Durable Medical Equipment for All Medicaid Recipients – Excel version  ASCII version  PDF version

Durable Medical Equipment for Recipients under Age 21 – Excel version  ASCII version  PDF version

Hearing – Excel version  ASCII version  PDF version

Hospital Outpatient Labs – Excel version  ASCII version  PDF version

Independent Laboratories January 2005 – Excel version  ASCII version  PDF version

Independent Laboratories April 2005 – Excel version  ASCII version  PDF version

Licensed Midwife – Excel version  ASCII version  PDF version

Optometry – Excel version  ASCII version  PDF version

Physician Anesthesia – Excel version  ASCII version  PDF version

Physician Assistant – Excel version  ASCII version  PDF version

Physician Code Changes – Excel version  ASCII version  PDF version

Physician Evaluation and Management Codes – Excel version  ASCII version  PDF version

Physician Lab and X-Ray Codes – Excel version  ASCII version  PDF version

Physician Medical Codes – Excel version  ASCII version  PDF version

Physician Pediatric Surgical Codes – Excel version  ASCII version  PDF version

Physician Surgical Codes – Excel version  ASCII version  PDF version

Podiatry – Excel version  ASCII version  PDF version

Portable X-ray – Excel version  ASCII version  PDF version

Registered Nurse First Assistant – Excel version  ASCII version  PDF version

RPICC NCG – Excel version  ASCII version  PDF version

RPICC OBCG – Excel version  ASCII version  PDF version

Visual Services – Excel version  ASCII version  PDF version

Fee Schedules for 2004 (Effective January 1, 2004)

All Fee Schedules Zip File (this file contains all fee schedules for 2004)

Top

Provider Notices (Calendar Year 2004-2005)

Follow-up to Surety Bond – Durable Medical Equipment Providers – April 2005

Reimbursement Provider – Transportation – April 2005

Community Behavioral Health – April 2005

DME Providers Surety Bond – March 2005

Independent Lab Providers – March 2005

Hospital Interim Bill Types – February 2005

PPEC Regarding Enrollment Requirement Change – February 2005

Dental Providers – December 2004

Nursing Facility Providers – November 2004

PPEC Notice to Children’s Medical Services – October 2004

DME Oxygen Providers – September 2004

Home Health Providers Regarding iEXCHANGE Training – August 2004

Hospice Providers Bed Hold Policy Update – July 2004

Advanced Registered Nurse Practitioners (ARNP) and HMOs – July 2004 Errata

ICF/DD Providers Bed Hold Policy Update – July 2004

Medicare Medicaid Crossover Claims – July 2004

Nursing Facility Policy Change – July 2004

Community Mental Health Providers – June 2004

Dental HMO Providers – May 2004

Transportation Providers – May 2004

Pharmacy Providers – February 2004

Family Planning Waiver Services – January 2004

Immunization Code Change – January 2004

Email Alert Notification System and Archive

The Florida Medicaid Program has created an email alert system to supplement the present method of receiving remittance banner messages and to alert registered providers of "late-breaking" HIPAA and other health care information. An email will be delivered to your mailbox when banner information is submitted that is appropriate for your provider type. All registered providers will receive health care information that is of general interest.

Interested providers can subscribe to the automated alert system by entering their personal information in the data entry boxes of the subscription web page at: http://ahca.myflorida.com/Medicaid/hipaa/Lyris/lyrissubscribe.shtml. A confirmation email will be sent to the subscriber's mailbox to avoid fraudulent subscription requests. Providers may unsubscribe at any time by following the instructions in the footer of each email.

The Email Alerts messages distributed during the period December 2002 to March 2005 can be viewed by clicking: RV Banner Announcements and Healthcare Alerts Archive

Summary of Services

Top

Summary of Services, 2004-2005 [2.3 MB PDF], Updated December 2004

Bulletins (Calendar Year 2004-2005)

Spring 2005

Winter 2005

Fall 2004

Summer 2004

Spring 2004

Winter 2004