Simply Healthcare Plans, Inc. - Medicaid Managed CareSimply Healthcare Plans, Inc. - Florida Healthy KidsClear Health Alliance - Medicaid Managed CareJune 16, 2025
Home health respiratory: new CPT precertification requirements
As of May 15, 2025, the following CPT® codes require precertification:
CPT code(s) | Description |
S5180 | Home Health Respiratory Therapy, Initial Evaluation |
S5181 | Home Health Respiratory Therapy, NOS, Per Diem |
Standard precertification requests can be submitted by way of:
- Availity Essentials: https://Availity.com
- Fax: 800‑964‑3627
- Phone: 844‑405‑4296
If you have questions, contact your local Provider Relations representative or contact Provider Services at 844‑405‑4296.
Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Medicaid contract.
Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Healthy Kids contract.
Simply Healthcare Plans, Inc. dba Clear Health Alliance is a Managed Care Plan with a Florida Medicaid contract.
FLSMPLY-CD-084294-25
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