It's a New Day in Public Health.
The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.
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.
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
CMS Plan Provider Management HelplineProvider questions about credentialing, username and password reset for provider management systemPhone: 850-245-4215 Fax: 850-487-1279 Email:firstname.lastname@example.org
CMS Plan Physician AttestationsQuestions and technical assistance Phone: 850-245-4444, extension 3291 Fax: 850-488-3813 Email (for encrypted emails):CMS.ClinicalEligibilityScreening@flhealth.gov
MedImpact, KidCareTitle XXI pharmacy benefits managerPhone: 800-788-2949
Magellan, MedicaidTitle XIX pharmacy benefits managerPhone: 800-603-1714
Ped-I-CareMember services, customer service, provider relations and authorization Phone: 866-376-2456
Community Care Plan Provider RelationsPhone: 1-855-819-9506