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June 28, 2021: COVID-19 flexibilities ending on July 1, 2021
Many of the temporary flexibilities we put in place during Florida’s COVID-19 State of Emergency ended as of July 1, 2021. You can view the provider bulletin (PDF) for details on the policies and requirements that have been reinstated.
June 19, 2020: Provider Relief Fund
The U.S. Department of Health and Human Services has announced additional distributions from the Provider Relief Fund to eligible Medicaid providers. You can see the provider relief funding announcement (PDF) that was sent to all providers for details.
We’ll continue to follow COVID-19 guidance from the Agency for Health Care Administration (AHCA) as outlined in their latest policy bulletins:
Ending temporary flexibilities (PDF)
Updated hospital transfer requirements (PDF)
Hospital transfer requirements (PDF)
Prior authorization reinstatement (PDF)
Well-child visits via telemedicine (PDF)
Behavioral health service requirements (PDF)
Adult day care retainer payments (PDF)
COVID-19 laboratory testing (PDF)
Behavioral health telemedicine/telehealth requirements (PDF)
Prior authorization and claims payment requirements (PDF)
Coverage of non-emergency ambulance (PDF)
Coverage of services and other provisions (PDF)
Non-urgent and non-emergent transportation services (PDF)
Temporary expansion of Long-Term Care provider qualifications
Coverage of lab testing, guidance for NEMT brokers and providers, and provider credentialing (PDF)
Long-Term Care provider network flexibilities during the COVID-19 state of emergency
To provide greater workforce flexibility to Florida Long-Term Care providers on the front lines and provide continuation of services to LTC enrollees during the 2019 novel coronavirus (COVID-19) state of emergency, we’re expanding the provider types eligible to render LTC services.
The following service providers are temporarily eligible to render additional LTC services in the member’s home during the state of emergency:
Adult day care centers: medication administration, medication management, adult companion, attendant care, intermittent and skilled nursing, home delivered meals, and personal care services
Independent registered nurses: homemaker, adult companion, intermittent and skilled nursing, and personal care services
Independent licensed practical nurses: homemaker, adult companion, intermittent and skilled nursing, and personal care services
Providers of Community Care for the Elderly: transportation, attendant care, intermittent and skilled nursing, and medical equipment and supply services
Nurse registries: intermittent and skilled nursing, behavior management services
Older Americans Act providers: adult companion and personal care services
Health care service pools: attendant care, intermittent and skilled nursing, personal care, and respite services
Centers for independent living: intermittent and skilled nursing services
Providers must be authorized by Aetna Better Health of Florida before providing these services to members. Providers must contact the member’s LTC case manager to initiate the pre-screening process so that Aetna Better Health® of Florida can ensure the provider is qualified to provide the service in the member’s home.
If the member’s case manager is unavailable, providers may contact the health plan directly at 1-844-645-7371.