Florida Medicaid: AHCA will terminate unregistered provider IDs Sept. 1

Effective Sept. 1, 2024, the Florida Agency for Health Care Administration (AHCA) will terminate remaining registered provider IDs that are not yet enrolled with Florida Medicaid in accordance with the Centers for Medicare and Medicaid Services (CMS) requirements. Federal law requires all network health care professionals to enroll with Florida Medicaid by submitting a Florida Medicaid Provider Enrollment Application.

To receive Medicaid reimbursement, a provider must be enrolled in Medicaid and meet all provider requirements at the time service is rendered. Providers who do not enroll will not be paid and may not continue seeing Medicaid members.

The providers and their future termination dates will be listed on the Provider Master List (PML). Note that active registered providers with a future termination date can still be used for encounters through Aug. 31, 2024.

How do I enroll with Florida Medicaid?

To continue to provide services to Florida Medicaid Managed Care recipients, enroll using the Florida Medicaid Enrollment Wizard. Additional information is available on the different CMS compliant enrollment types at ahca.myflorida.com.

Application requirements

The name on the application must match exactly the name on file with the IRS, National Provider Identifier (NPI) registration, provider/medical license and Medicare enrollment
Organizational health care professionals, including incorporated individuals, must enroll with a unique NPI number
Organizations that have multiple locations must enroll with a unique NPI for each service location
Applicants must have a current and eligible background screening for Florida Medicaid

For assistance with the application or other provider enrollment related inquiries, please contact the Florida Medicaid Provider Enrollment Call Center at 800-289-7799, option 4.

More information is available at mymedicaid-florida.com.

Provider Types 07, 16, 97

Providers registered as Provider Type 07 (Specialized Therapeutic Services) and Out-of-State (OOS) Provider Type 16 (Residential and Freestanding Psychiatric Facility) are temporarily excluded from this termination because there is not yet a path for them to enroll.

Registered providers enrolled under Provider Type 97 (Managed Care Treating Provider – Non-Medicaid) who have a valid provider type taxonomy will receive a future termination date of Sept. 1, 2024.