Florida Medicaid
Florida Medicaid
Provider Reimbursement Handbook, UB-04
Agency for Health Care Administration
CHARLIE CRIST GOVERNOR
Better Health Care for all Floridians
December 1, 2008
HOLLY BENSON SECRETARY
Dear Medicaid Provider:
Please find the enclosed Florida Medicaid Provider Reimbursement Handbook, UB-04, effective July 2008. We added the time limit for submission of a claim to Chapter 1. We also added a new Chapter 3, which contains additional filing requirements, such as prior authorizations, authorization for hospital admissions, and special forms that must be submitted with claims for certain types of services. Please use this new handbook in place of the advance draft that was posted on the Medicaid fiscal agent's Web Portal on May 29, 2008.
Please contact your area Medicaid office if you have any questions. The area Medicaid offices' phone numbers and addresses are available on the Agency's website at . Click on Medicaid, and then on Area Offices. They are also listed in Appendix A of the Florida Medicaid Provider General Handbook. All the Medicaid handbooks are available on EDS' Web Portal at . Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks.
We appreciate the services that you provide to Florida's Medicaid recipients.
Sincerely,
Beth Kidder Chief, Bureau of Medicaid Services
2727 Mahan Drive, MS# Tallahassee, Florida 32308
Visit AHCA online at
UPDATE LOG MEDICAID PROVIDER REIMBURSEMENT HANDBOOK
UB-04
How to Use the Update Log
Introduction
The current Medicaid provider handbooks are posted on the Medicaid fiscal agent's Web Portal at . Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks. Changes to a handbook are issued as handbook updates. An update can be a change, addition, or correction to policy. An update may be issued as either replacement pages in an existing handbook or a completely revised handbook.
It is very important that the provider read the updated material and if he maintains a paper copy, file it in the handbook. It is the provider's responsibility to follow correct policy to obtain Medicaid reimbursement.
Explanation of the Update Log
Providers can use the update log to determine if they have received all the updates to the handbook.
Update No. is the month and year that the update was issued.
Effective Date is the date that the update is effective.
Instructions
When a handbook is updated, the provider will be notified by a postcard or notice. The notification instructs the provider to obtain the updated handbook from the Medicaid fiscal agent's Web Portal at . Click on Public Information for Providers, then on Provider Support, and then on Provider Handbooks.
Providers who are unable to obtain an updated handbook from the Web Portal may request a paper copy from the Medicaid fiscal agent's Provider Support Contact Center at 800-289-7799.
UPDATE NO. May07 New Handbook Jul08 Revised Handbook
May 2007 July 2008
EFFECTIVE DATE
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