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1. #Ahca health care licensing application how to#
2. #Ahca health care licensing application registration#
3. #Ahca health care licensing application license#

Transportation subcontract NR HMO offering transportation Reform Health Plans Before execution BMHC Exhibit 5, Section V, Item H.20.h. Letters about exhaustion of benefits under customized benefit package Reform capitated Health Plans Before use BMHC Exhibit 5, Section V, Item H.20.g. Disenrollment notice Specialty Plan for Children with Chronic Conditions Get template approved before use At least two (2) months before anticipated effective date of involuntary disenrollment BMHC Enrollee Exhibit 5, Section V, Item A.6. d/b/a Staywell Health Plan of Florida Medicaid HMO Non- Reform Contract Contract Section Submission Plan Type Frequency Submit To Exhibit 3, Section III, Item C.5. FA904, Attachment II, of 186 WellCare of Florida, Inc. Policies & procedures for screening for clinical eligibility & any changes to them Specialty Plan for Children with Chronic Conditions Before implementation BMHC AHCA Contract No. Workers’ compensation insurance declaration page All Annually upon renewal BMHC Exhibit 2, Section II, Item D.4.c. General insurance policy declaration pages All Annually upon renewal BMHC Section XVI, Item Z. Corrective action plan related to principals committing offenses under 435.03 All As prescribed by the Agency HSD Section XVI, Item Y. Information about offenses listed in 435.03 All Within five (5) business days of knowledge HSD Section XVI, Item V.6. Fingerprints of newly hired principals All Within thirty (30) days of hire date HSD Section XVI, Item V.5. Fingerprints for principals All Before Contract execution Thereafter, annually by September 1 HSD Section XVI, Item V.4.c. Changes in ownership & control All Within five (5) calendar days of knowledge & sixty (60) days before effective date BMHC & HSD Section XVI, Item V.4.

Ownership & management disclosure forms All With initial application and then annually by September 1 HSD – for initial application BMHC & HSD for annual Section XVI, Item V.1. Subcontract monitoring schedule All Annually, by December 1 BMHC Section XVI, Item V.1. All subcontracts for Agency approval All Before effective date BMHC Section XVI, Item O.1.f. Transportation Coordinator in the county you wish to operate.įor more information on providing transportation services, contact theAHCA. All Before use BMHC Section XVI, Item O.

#Ahca health care licensing application registration#

#Ahca health care licensing application license#

Obtain a business license and/or provide proof of a business license.To learn more about becoming a provider for their network, visit each of the following websites:Įach jurisdiction and funding agency has requirements for transportation providers. There are currently three transportation brokers responsible Medicaid NEMT for the state (see below). If you are interested in providing Medicaid non-emergency medical transportation (NEMT), please visit the Agency for Health Care Administration's website at:

The Agency for Health Care Administration (AHCA) is responsible for the provision of all Medicaid services for State of Florida.

#Ahca health care licensing application how to#

How to Become a Medicaid Non-Emergency Transportation (MNET) Provider The CTC will provide you with the contracting requirements for becoming a local provider. To find out who the CTC is for the county you are interested in, refer to our If you are interested in becoming an operator, please contact the CTC for that county. The Commission contracts directly with the Community Transportation Coordinator (CTC) in each county/service area for the coordination of transportation services.