AdministrativeSimply Healthcare Plans, Inc. - Medicaid Managed CareSimply Healthcare Plans, Inc. - Florida Healthy KidsClear Health Alliance - Medicaid Managed CareJuly 1, 2024

New provider manual available

This communication applies to the Medicaid programs for Simply Healthcare Plans, Inc. (Simply) and Clear Health Alliance (CHA) as well as the Florida Healthy Kids (FHK) program for Simply.

The latest Statewide Medicaid Managed Care Managed Medical Assistance (SMMC MMA) and FHK Provider Manual is live on our provider website here. This recently updated provider manual contains everything you need to know about our programs and how we work with you to provide quality care to our members. You can access the provider manual by visiting provider.simplyhealthcareplans.com > Resources > Provider Manuals and Guides.

We encourage your review of the latest manual, which contains updates such as:

  • The Provider Data Management (PDM) application on Availity Essentials is the preferred intake tool for care providers to submit demographic change requests, including submitting roster uploads.
  • Updated quick reference information.
  • Agency for Health Care Association’s (AHCA) new external claim appeal vendor.
  • And more that are included.

While we strive to keep our provider manual current, please be sure to check provider.simplyhealthcareplans.com and providernews.simplyhealthcareplans.com for updates.

If you have questions about the provider manual or provider bulletins, contact your Provider Relations representative or call Provider Services at 844-405-4296.

Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Medicaid contract.

FLSMPLY-CD-059554-24

PUBLICATIONS: July 2024 Provider Newsletter