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Clear Health Alliance Providers

WebTo determine if pharmacy benefits are payable by Clear Health Alliance, please confirm the requested services are a covered benefit. Questions about members’ pharmacy benefits …

Actived: 8 days ago

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

Provider Resources

WebCHA’s Behavioral Health provider network includes psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health …

Category:  Health Go Health

Provider Manuals and Guides

WebCHA’s provider manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims …

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Behavioral Health

Web1-877-698-7787: Medicare. 1-800-397-1630: Providers wanting to join Carelon Behavioral Health Network. Preauthorizations: 1-800-221-5487: IP, IOP, PHP, SIPP, RTC. 1-844 …

Category:  Health Go Health

Healthcare Effectiveness Data and Information Set (HEDIS)

WebThe Healthcare Effectiveness Data and Information Set (HEDIS ®) is a tool used by more than 90% of America’s health plans to measure performance on important dimensions of …

Category:  Health Go Health

Pharmacy Information

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 …

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What Makes Clear Health Alliance Different

WebHow is Clear Health Alliance different from other Medicaid health plans? Simply Healthcare Plans, Inc. dba Clear Health Alliance is a Managed Care Plan with a Florida Medicaid …

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Clinical Guidance for Treating Pregnant and Parenting …

WebSimply Healthcare Plans, Inc. Clear Health Alliance Medicaid Managed Care July 2019 . www.simplyhealthcareplans.com/provider | www.clearhealthalliance.com/provider

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Florida Medicaid member handbook

WebQuestions? Call Member Services at 1-844-406-2398 or TTY at 711. 1 CLEAR HEALTH ALLIANCE FLORIDA MEDICAID MEMBER HANDBOOK 1-844-406-2398 (TTY 711)

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Precertification Requirements

WebThe following ALWAYS require precertification: Elective services provided by or arranged at nonparticipating facilities. All services billed with the following revenue codes: 0023 — …

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Taking Care of Baby and Me

WebTaking Care of Baby and Me® When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our

Category:  Baby health Go Health

Medicaid Reference Guide

WebClaims dispute process Verbal dispute Written dispute 844-405-4296 Simply Healthcare Plans, Inc. Payment Appeals P.O. Box 61599 Virginia Beach, VA 23466-1599 Visit our …

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Precertification Lookup Tool

WebThis tool is for outpatient services only. Inpatient services and non-participating providers always require precertification. This tool does not reflect benefits coverage* nor does it …

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Florida Medicaid 1115 Waiver Program: Addressing housing …

WebSimply and CHA are committed to addressing socioeconomic barriers within our members’ lives in order to enhance and improve health outcomes. Identify members experiencing …

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CG-BEH-14 Intensive In-home Behavioral Health Services

WebMedically Necessary:. Intensive in-home behavioral health services may be considered medically necessary when ALL of the following selection criteria are met (A, …

Category:  Medical Go Health

Beacon Health Options will become Carelon Behavioral …

WebMedicaid Managed Care Florida Healthy Kids Medicare Advantage Provider Bulletin February 2023 * Carelon Behavioral Health, Inc. is an independent company providing …

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A Message for Providers: Healthy Rewards

Webhttps://provider.simplyhealthcareplans.com/florida-provider https://provider.clearhealthalliance.com/florida-provider It’s simple. Every time your …

Category:  Health Go Health

Home Health/DME Precertification Request

WebMedicaid Managed Care Florida Healthy Kids Home Health/DME Precertification Request * Availity, LLC is an independent company providing administrative support services on …

Category:  Health Go Health

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