Complete Enrollment for Your Medicaid ID
Date: 10/31/22
Fort Lauderdale, Florida
Providers participating in a Florida Medicaid managed care plan are federally required to enroll in Florida Medicaid. AHCA requires that every provider who participates with Medicaid or CHIP beneficiaries maintain an active status on their Medicaid ID. Failure to keep an active status disqualifies providers from receiving payment.
If your Medicaid ID shows an enrollment type of “Registered” status on AHCA’s Provider Master List (PML), claims received under your NPI will deny for Medicaid ineligibility. If you don’t take action by your PML expiration date, you will be terminated from the Sunshine Health network on your PML expiration date.
In order for your Medicaid ID to remain active, you must update your enrollment type to “Enrolled” or “Limited Enrollment” by the PML expiration date.
Action Required: Please complete the application wizard with AHCA online to renew and/or complete your Medicaid ID registration.
AHCA Resources:
- Track your application progress via: AHCA's enrollment status check tool.
- View Frequently Asked Questions (PDF) regarding the Provider Enrollment On-Line Enrollment Wizard.
- Get information for new Medicaid providers.
- Call 1-800-289-7799, Option 4 for any additional provider enrollment questions
Enrollment Assistance for Skilled Nursing Facilities, Assisted Living Facilities (ALFs) and Residential and Freestanding Psychiatric Facilities
As part of the Registered Provider Enrollment Initiative, the Agency for Health Care Administration (AHCA) is offering enrollment assistance to Skilled Nursing Facilities, Assisted Living Facilities (ALFs) and Residential and Freestanding Psychiatric Facilities that are actively seeking compliance with the Registered Provider Initiative.
If you are a provider meeting the criteria above and currently have an Application Tracking Number (ATN), AHCA’s Provider Enrollment team will assist you in completing the process. Fill out the Statewide Medicaid Managed Care Registered Provider Initiative form (PDF) and submit it to: medicaideligibilityoutreach@ahca.myflorida.com.
AHCA will reopen ATNs for ALF providers who previously submitted an application that was terminated for incomplete documentation within the last six months. A new application must be submitted if the ATN was terminated before March 2022.
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