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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Physician Portal

CMS Plan

Welcome to the CMS Plan Physician Portal. As a CMS Plan provider, you are an integral part of a network of local community providers, hospitals and university medical centers across Florida that provides quality care to children who need it most.

On this page, CMS Plan primary care providers have access to the following:

  • Important information about the CMS Plan.
  • Useful contact information.

If you are searching for a specific form or document, please visit the Provider Resources section of our For Health Care Professionals page.

CMS Plan Transition Information

The Florida Department of Health’s Children’s Medical Services Plan (CMS Plan) and Specialty Programs is proud to serve Florida’s population of children and youth with special health care needs (CYSHCN). Over the decades, CMS Plan has changed, adapted and grown, always with the goal of providing the best possible care for the children we serve.

The national landscape for health care delivery models continues to change. Florida is well positioned to implement a national model for serving CYSHCN within Medicaid and CHIP and through our Title V initiatives. Rumors have circulated that CMS Plan is “going away” or “closing.” Neither of these is true. While CMS Plan is again in a time of transition, we remain working for the health, safety and quality of life of the children and families we serve.

At this time, there are no immediate changes for providers in our network or for the families we serve. Families do not need to do anything differently, and credentialed providers are still able to see CMS Plan members. Please continue to visit our website for updates (www.CMSPlanFlorida.gov), and rest assured we will contact our members and provider network directly with any changes that will affect them.

CMS Provider Alerts 

Please visit the For Health Care Professionals page to find provider alerts and the Updates and Events page for all Plan news and alerts.

Provider Tips and Reminders 

  • Patient Information and Advanced Directives
  • Medical Records Requirements
  • Plan Contacts
  • Health and Wellness Promotion
  • CMS Cultural Competency Plan
  • Member Rights and Responsibilities
As a CMS Plan provider, you are required to give patients, their family member or a legally authorized individual complete information regarding patients’ diagnosis, evaluation, treatment and prognosis. Any advanced directives must be included in medical records.
CMS Plan members have a right to participate in decisions concerning their health care, unless participation is contraindicated for medical reasons. The designated person or legally authorized individual, the opportunities for participation in medical decisions or the reason why participation is medically contraindicated must be included in medical records including informed consents, progress notes, etc. More information about medical records requirements can be found in Section XI of the Provider Handbook.

CMS Plan Provider Management Helpline Provider questions about credentialing, username and password reset for provider management system Phone: 850-245-4215 Fax: 850-487-1279 Email: cmsproviderhelp@flhealth.gov 

CMS Plan Physician Attestations Questions and technical assistance Phone: 850-245-4444, extension 3291 Fax: 850-488-3813 Email (for encrypted emails): CMS.ClinicalEligibilityScreening@flhealth.gov

MedImpact, KidCare Title XXI pharmacy benefits manager Phone: 800-788-2949

Magellan, Medicaid Title XIX pharmacy benefits manager Phone: 800-603-1714

Ped-I-Care Member services, customer service, provider relations and authorization Phone: 866-376-2456

Community Care Plan Provider Relations Phone: 1-855-819-9506

Florida Department of Health and the CMS Plan work to improve the lives of residents through health and wellness initiatives like Healthiest Weight Florida. The initiative is aimed at decreasing the percentage of Floridians who are at an unhealthy weight. Healthiest Weight Florida is a collaborative partnership among state, local and community agencies. Visit the Healthiest Weight Florida website for information and resources to share with your patients.
Cultural competency is one of the main ingredients in providing quality health care to our children. It is the way families and providers can come together and talk about health concerns without cultural differences hindering the conversation. Your patients may require interpretive services. All CMS Plan members have a right to receive information about their health in a format or language they can understand. View the CMS Cultural Competency Plan to learn more about how you can meet your patients’ cultural and linguistic needs.
All CMS Plan members have certain rights. For instance, members are entitled to receive care and services covered by  Medicaid, and they are also entitled to refuse care. CMS Plan members also have certain responsibilities. To learn more, please view the Member Rights and Responsibilities document.

CMS Plan Performance 

  • CMS Plan Enrollment Maps
  • Other Performance Measures

Find recent and archived maps on the About CMS Plan page.

Healthcare Effectiveness Data and Information Set (HEDIS)

Consumer Assessment of Healthcare and Systems (CAHPS) Coming Soon