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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 is the timely filing limit for Medicare in Florida?
Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided unless an exception applies.
How long do I have to submit a corrected claim to Medicare?
A: Per Medicare guidelines, claims must be filed with the appropriate Medicare claims processing contractor no later than 12 months (one calendar year) after the date of service (DOS). Claims must be processed (paid, denied, or rejected) by Medicare to be considered filed or submitted.
What is the 5 year rule for Medicaid in Florida?
In order to qualify for long-term Medicaid in Florida, such as nursing home or assisted living care, the applicant must not have given away (i.e., made uncompensated transfers) assets within five years of applying for Medicaid benefits. This is generally known as the Medicaid look-back period.
How do I appeal a Medicaid denial in Florida?
Email MedicaidHearingUnit@ahca.myflorida.com. Fax (239) 338-2642. Mail Agency for Health Care Administration. Medicaid Hearing Unit. P.O. Box 60127. Ft. Myers, Florida 33906.
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