Clear Health Alliance Florida Prior Authorization

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Referrals & prior authorizations Florida Clear Health Alliance

(3 days ago) WEBVaccines (except pneumonia and shingles for adults) STD diagnosis or treatment. Rabies diagnosis or immunization. School health services and urgent services. For services not …

https://www.clearhealthalliance.com/florida/care/referrals-prior-authorization.html

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New prior authorization requirements for outpatient procedures

(3 days ago) WEBClear Health Alliance (CHA) as well as the Florida Healthy Kids (FHK) program for Simply. Effective January 1, 2021, prior authorization (PA) requirements will be …

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FL_SHC_CHA_NewPAReqrmntsforOPProcedures.pdf?v=202012100046

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Authorization, precertification and referral process reminder

(3 days ago) WEBClear Health Alliance is a Managed Care Plan with a Florida Medicaid contract. Simply Healthcare Plans, Inc. is a Medicare-contracted coordinated care plan that has a …

https://provider.simplyhealthcareplans.com/docs/FLFL_CAID_SMH_AuthPrecertandReferralProcessReminder.pdf

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August 2021 Provider Nesletter - Clear Health Alliance

(1 days ago) WEBSimply Healthcare Plans, Inc. Medicaid and Florida Healthy Kids Clear Health Alliance Medicaid Prior authorization required for specialty pharmacy drugs Effective for dates …

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FL_SHC_CHA_ProviderNewsletter_Aug2021.pdf?v=202107301659

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Florida Pharmacy Prior Authorization Form - Clear Health …

(3 days ago) WEBClear Health Alliance, including current member eligibility, other insurance and program restrictions. We will notify the provider and the member’s pharmacy of our decision. 3. …

https://provider.clearhealthalliance.com/docs/inline/FLFL_SMH_Pharmacy_FLPharmacyPriorAuthForm.pdf?v=202002031905

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Medicaid Plan benefits Florida Clear Health Alliance

(5 days ago) WEBCall 1-844-406-2398 (TTY 711) anytime, day or night. If your child receives private duty nursing (PDN) services, you can report missed nurse visits. If your child’s nurse does …

https://www.clearhealthalliance.com/florida/benefits/medicaid-benefits.html

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Preauthorization Overview - Health Alliance

(5 days ago) WEBTo get started with the AOD process, go to the Request Preauthorization tab. From the options to request a preauthorization with Health Alliance, choose the File Medical …

https://www.healthalliance.org/media/Resources/pnm-preauthbklt-0518-WEB.pdf

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Appointment availability and after-hours access requirements

(5 days ago) WEBSimply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Medicaid contract. Simply Healthcare Plans, Inc. dba Clear Health Alliance is a Managed Care Plan with a …

https://medicalpolicy.clearhealthalliance.com/docs/gpp/FLFL_SMH_CHA_AccessRequirements.pdf?v=202204111555

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Precertification Request - Simply Healthcare Plans

(6 days ago) WEBSimply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract. FLSMPLY-CD-012430-22 November 2022 This communication applies to the Medicaid …

https://provider.simplyhealthcareplans.com/docs/inline/FLFL_SMH_Other_PrecertificationRequestForm.pdf?v=201912171544

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Learn how to submit prior authorizations digitally through ICR

(4 days ago) WEBThe ICR prior authorization application makes it easy to submit, review, and check authorization status — all in one place. Learn how by joining our July 2023 …

https://providernews.simplyhealthcareplans.com/articles/learn-how-to-submit-prior-authorizations-digitally-through-i-1-13887

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Submitting prior authorizations is getting easier - Provider News

(4 days ago) WEBAdministrative / Digital Solutions Simply Healthcare Plans, Inc. - Medicare Advantage / Simply Healthcare Plans, Inc. - Medicaid Managed Care / Simply Healthcare Plans, Inc. …

https://providernews.simplyhealthcareplans.com/articles/submitting-prior-authorizations-is-getting-easier-38-14939

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FLSMPLY-CD-052504-24 Update Precert Request Form CMAP

(4 days ago) WEBSimply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract. FLSMPLY-CD-052504-24 March 2024. This communication applies to the Medicaid …

https://provider.simplyhealthcareplans.com/docs/FLFL_SMH_Other_PrecertificationRequestForm.pdf

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Welcome New Member Florida Clear Health Alliance

(5 days ago) WEBMember Services: 1-844-406-2398 (TTY 711) Pharmacy Member Services: 1-833-235-2028 (TTY 711) 2. Make an appointment with your primary care provider. Your main doctor is …

https://www.clearhealthalliance.com/florida/get-help/welcome.html

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Pharmacy/Medical Drug Prior Authorization Form - Health …

(4 days ago) WEBProviders are strongly encouraged to submit this form and all chart documentation via the Health Alliance Pharmacy Provider Portal. This will result in more reliable …

https://www.healthalliance.org/documents/124

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Pharmacy Information - Clear Health Alliance

(6 days ago) WEBYou can reach our Pharmacy department at 1-877-577-9044 between 8:00 a.m. and 8:00 p.m. Eastern time Monday through Friday. Precertifications by fax: You can also fax your …

https://provider.clearhealthalliance.com/florida-provider/pharmacy

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How to enroll Florida Clear Health Alliance

(1 days ago) WEBThere are two easy ways to enroll with us: Online: go to the Florida Statewide Medicaid Managed Care website at www.flmedicaidmanagedcare.com. By phone: call the Choice …

https://www.clearhealthalliance.com/florida/apply/enroll.html

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Draft - labor.hawaii.gov

(3 days ago) WEBPrepaid Health Care Advisory Council Meeting April 24, 2024 Page 3 of 7 knowledge on the hospice benefits specifically but stated that the plan had previously …

https://labor.hawaii.gov/dcd/files/2024/05/2024.04.24-draft.pdf

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