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How do I submit my medical bills to Medicaid in Florida?

Proof of medical expenses can be submitted by fax, mail, or in person. Be sure to include your name and case number on medical expenses. Some examples of proof of medical expenses are: Medical bills an individual received. Receipts for medical bills.

What are the rules for Medicaid in Florida?

To be eligible for Florida Medicaid, you must be a resident of the state of Florida, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Does Florida Medicaid accept paper claims?

Sunshine Health utilizes the encounter reporting to evaluate all aspects of quality and utilization management, and it is required by the State of Florida and by Centers for Medicare and Medicaid Services (CMS). A claim is a request for reimbursement either electronically or by paper for any medical service.

What is the timely filing limit for Medicaid corrected claims in Florida?

All clean claim adjustment requests must be received by the area Medicaid office or its fiscal agent no later than 12 months from the date of the original payment. The 12-month filing limit does not apply to claim void requests. Claim void requests may be submitted at any time.

What are the requirements for medical records in CMS?

CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report. And if youre a Medicare managed care program provider, CMS requires that you retain the patient records for 10 years.

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Can you bill a Medicaid patient in Florida?

(c) Providers may bill a patient accepted as a Medicaid patient only in the following situations: (1) for allowable deductibles, co-insurance, or co-payments as specified in the Medicaid State Plan; (2) before the service or supply is provided, the provider has informed the patient that the patient may be billed for a

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