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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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Updates and Events

CMS Plan

  • Dental Service Change
  • Notice of Disclosure
  • Temporary Payment Change Updated 11/14
  • CMS: We’re Here to Stay
  • New Member Newsletter (Summer 2018)
  • Welcome, Deputy Secretary Jeffrey Brosco, MD, PhD
  • Federal Payment Error Rate Measurement (PERM)
  • Patient Centered Medical Home Survey

As of December 1, 2018, CMS Plan will not cover Medicaid dental benefits. Your Medicaid dental services will be covered by a dental plan.

You were sent a letter about changes in the Statewide Medicaid Managed Care (SMMC) program.

You will receive an ID card from your new dental plan in the mail. Please keep this with your CMS Plan ID card.  Both cards have important contact phone numbers.

For more information about the SMMC dental plans, call 1-877-711-3662 or visit Florida Medicaid Managed Care's website.

For dental appointments already scheduled or services authorized, the dental plan will honor these for up to 90 days after your enrollment.

Call Member Services at 1-866-209-5022 (TTY/TDD 1-855-655-5303) if you have questions about this process.

The Department of Health has issued this Notice of Disclosure.

In anticipation of holiday and/or bank closures related to up coming holidays, and to minimize disruption to the timing of payments, please see the Children's Medical Services Managed Care Plan's (CMS Plan) payment changes below.

Holiday

Claims adjudicated through

EFTs post/Checks mailed

Veteran's Day

11/7/2018

11/16/2018

Thanksgiving

11/14/2018

11/23/2018

Christmas

12/19/2018

12/28/2018

New Year's

1/1/2019

1/9/2019

Please be advised CMS Plan will not post a payment during the week of December 30, 2018 through January 5, 2019 as a result of the year-end process and development of the 1099s for all service providers.  Providers should expect their next payment o post on January 9, 2019 with normal operations to resume afterwards.

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.

The summer member newsletter of 2018 is available online.

The CMS Plan and Specialty Programs welcomes Jeffrey P. Brosco, MD, PhD, who has been named Deputy Secretary for Children’s Medical Services (CMS). As Deputy Secretary, Dr. Brosco will oversee the Division of Children’s Medical Services. He also joins the executive leadership team of the Office of the CMS Managed Care Plan and Specialty Programs, Cheryl Young, Director, Andrea Gary, Director of Operations and Kelli Stannard, Director of Clinical Operations, to oversee the CMS Managed Care Plan and Specialty Programs and the CMS area offices.Dr. Jeffrey Brosco

Dr. Brosco currently serves as the Title V (Maternal and Child Health) statewide consultant for CMS, is professor of clinical pediatrics at the University Of Miami Miller School Of Medicine (UM) and served as a regional medical director for CMS from 2012-2015.  For the past 21 years, he has served at UM’s School Of Medicine in several capacities, most recently as the associate director of UM’s Mailman Center for Child Development, director of faculty education development in the Department of Pediatrics and director of the Leadership Education Neurodevelopmental Disabilities Program. He is also the chair of the Pediatric Bioethics Committee at Jackson Memorial Hospital.

Miami's WLRN recently interviewed Dr. Brosco to find out more. Read the interview here.

Starting in August 2017, the Payment Error Rate Measurement (PERM) program contractor will contact all Medicaid and CHIP providers. If you are contacted you must comply with the medical records request. For more information you can read AHCA'S notice.

The Florida Department of Health Children's Medical Services has a statewide initiative to assist pediatric practices with Patient Centered Medical Home (PCMH) practice transformation and recognition.  The PCMH model has become a widely accepted standard with a variety of tools and processes that enable providers to more effectively deliver better care and achieve improved outcomes.

We have partnered with HealthARCH - a division of the University of Central Florida College of Medicine to assist us with this program.  A survey of pediatric practices is the first step in the process and will assist us with determining who among Florida pediatric practices is interested and ready to begin the medical home journey.

Your results will be kept confidential. The survey should take approximately 20 minutes. Educational content on PCMH is provided throughout the survey to help explain concepts and standards. We appreciate your time and assistance with this program.

Begin the survey:  PCMH Survey