As part of the Agency for Health Care Administration’s (Agency) quality initiatives, the Agency requested that each Medicaid health plan develop provider resource guides with direct service lines, escalation contacts, and after-hours instructions covering a wide range of service areas. The following service areas can be found in each plan’s resource guide:
- Behavioral Health
- Case Management
- Community Resources
- Perinatal Care
- Pharmacy
- Subcontracted Services
- Transportation
- Utilization Management
The Agency’s goals with this initiative are to improve communication and coordination between plans and providers, and more specifically: to reduce readmissions by improving communication among health plans and providers; to improve members’ access to timely and appropriate services post-discharge; and to streamline the coordination of behavioral health services for members, especially those with substance use disorder (SUD) and opioid use disorder (OUD).
Each plan’s resource guide has been posted publicly on their respective websites, but may be easily accessed from the Florida Medicaid Health Plan Resources page on the Agency’s website. The Agency encourages providers to explore the resource guides for the health plans with which they contract and to utilize them to coordinate services for members they serve.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.