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  • December 22, 2015 11:30 AM | Amanda Riordan (Administrator)

    On December 22, 2015 FAA President Alan Skavroneck received the following information from AHCA Assistant Deputy Secretary for Medicaid Policy & Quality Beth Kidder.

    Express Enrollment

    Express Enrollment will provide Medicaid recipients with the opportunity to allow new enrollees who are mandated to participate in the Managed Medical Assistance (MMA) program to immediately take advantage of robust provider networks, access standards, and expanded benefits offered by the plan.  Express Enrollment will provide Medicaid recipients with the opportunity to make a plan choice concurrent with eligibility application and assign Medicaid-eligible individuals who are mandated to participate in the MMA program to a health plan immediately after eligibility determination.

    The State received approval on the amendment to Florida’s 1115 MMA waiver to allow for Express Enrollment.  The Agency intends to implement Express Enrollment on January 11, 2016.  Express Enrollment does not impact the Long-term Care program and it is not related to streamlined credentialing or limited enrollment for providers.

    To access a Snapshot, webinar slides, and a Frequently Asked Questions document with more information on Express Enrollment, please use the following link: http://ahca.myflorida.com/medicaid/statewide_mc/express_enroll.shtml

    Streamlined Credentialing for Medicaid Providers

    The Agency for Health Care Administration has created a streamlined application, or Limited Enrollment, for providers who do not hold a Medicaid ID and need to complete basic credentialing which may be a prerequisite to seeking a contract with a Medicaid health plan.

    With the implementation of Limited Enrollment in December 2015, some providers have the option to utilize a web-based Limited Enrollment application wizard which guides them through creation of the application.  The streamlined application and corresponding review process allows approved providers to receive their Medicaid IDs faster than with traditional full enrollment.

    NOTE: Limited Enrollment is not an option for providers of services to fee-for-service recipients. Fee-for-service providers must seek traditional full Enrollment in order to directly bill Medicaid for reimbursement.

    For those providers of services solely to recipients in a health plan, Limited Enrollment is a valuable option.

    For additional information or assistance with questions related to how this new enrollment type may be of benefit to your providers, please email our Managed Care Analyst for Medicaid Provider Enrollment:

    Nick Constantino

    Medicaid Fiscal Agent Operations

    Agency for Health Care Administration

    nick.constantino@ahca.myflorida.com

    Limited Enrollment FAQs

    • How do providers submit a Limited Enrollment application?
      Providers will be able to submit a Limited Enrollment application through the Public Web Portal.
    • What does Limited Enrollment capture?
      The Limited Enrollment application captures all demographic information, licensure and exclusion databases verification, and background screenings in compliance with Affordable Care Act provider screening requirements.
    • When will Limited Enrollment be available?
      Limited Enrollment will be available in December, 2015.
    • How does Limited Enrollment affect Provider Registration?
      Providers that go through the Limited Enrollment process do not need to “register.” Registration should be reserved for the use of health plans to obtain Medicaid IDs for non-participating providers.
    • Who should apply to become a Limited Medicaid provider?
      Limited Enrollment is an option for providers who will only be paid by a health plan. Providers who wish to submit claims directly to Florida Medicaid for fee-for-service reimbursement, should apply for regular Enrollment.
    • Can a Limited Medicaid provider bill fee-for-service?
      Like Registered Medicaid providers, a Limited Medicaid provider cannot bill fee-for-service claims.
    • How often does Limited Enrollment need to be renewed?
      Limited providers will be required to complete a renewal process every three (3) years, similar to the current renewal process for Enrolled providers.
    • If I am a Registered provider, do I have to become a Limited Medicaid provider?
      Registered providers are not required to seek Limited Enrollment but can choose to go through the Limited Enrollment process.  By meeting the additional credentialing elements included within the Limited Enrollment process (such as background screening), providers may experience additional efficiencies when seeking credentialing by health plans.
    • If I am a Limited Medicaid provider, can I later become an Enrolled Medicaid provider in order to bill fee-for-service?
      Yes. Limited Medicaid providers can submit a new application to seek to become an Enrolled Provider.
    • Who do I contact if I have additional questions about Limited Enrollment?
      Contact the Provider Enrollment Contact Center for additional assistance, at 800-289-7799, option 4.
    • What provider credentialing functions will remain with the health plans?
      Onsite visits, proof of education, training, and work history will remain with the health plans along with any additional criteria as determined by the plans.

  • December 21, 2015 3:31 PM | Amanda Riordan (Administrator)

    The FAA would like to give a special thank you to Sunstar Paramedics for hosting the December 15 FAA membership meeting as well as the FAA-AHCA MMA reimbursement discussion. Thank you, Mark Postma and John Peterson, for inviting us to your beautiful facility!

    FAA Meeting at Sunstar Paramedics in Largo, FL

    FAA-AHCA MMA Discussion at Sunstar Paramedics in Largo, FL



  • December 21, 2015 2:59 PM | Amanda Riordan (Administrator)

    Thank you for visiting the new website of the Florida Ambulance Association. Although the new site is still under construction, we are excited to share with you new functionality, including a membership directory, online discussion forum, and a special members-only section.

    We thank you for your patience as we work to establish the FAA's new online home. Thank you for your support, and happy holidays!

    (Need help? Please contact faa@the-aaa.org for assistance.)

  • April 15, 2014 1:38 PM | Amanda Riordan (Administrator)
    The Journal of EMS published a study in April 2014 that examined the outcomes for ST segment elevation myocardial infarction (STEMI) patients transferred between hospitals by air vs. ground ambulance. The study looked at 43 transfers of at least 30 miles between two hospitals within one STEMI system. After a two-year period of air transportation with suboptimal treatment times, the referring hospital switched to ground transport. The conclusion was that using ground ambulance to transport the patients significantly reduced the "door in door out" time at the first facility (from 70 minutes to 35 minutes) and reduced the "first medical contact to balloon time" (from 123 minutes to 90 minutes).


  • April 01, 2014 1:36 PM | Amanda Riordan (Administrator)

    On April 1, 2014, President Obama signed into law the Protecting Access to Medicare Act of 2014. The law provides a one year extension of the temporary adjustments for ground ambulance services, and a delay in the implementation of ICD-10 codes until at least October 1, 2015.

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