Florida Medicaid to Terminate Unregistered Provider IDs on September 1, 2024
Effective September 1, 2024, the Florida Agency for Health Care Administration will terminate all registered provider IDs not enrolled with Florida Medicaid. This action is a compliance move mandated by the Centers for Medicare and Medicaid Services.
A provider must be enrolled in Medicaid and complete all requirements to continue seeking reimbursement as a treating provider for Medicaid members. The Provider Master List will outline the providers and their termination dates. Therefore, all active and registered providers can continue to provide services through August 31, 2024.
Enrollment must be completed through the Florida Medicaid Enrollment Wizard. Providers must adhere to the following key application requirements: names must match the records kept by the IRS and NPI; a unique NPI for each location; and completion of a background screening. Organizational healthcare professionals must enroll with a unique NPI number for each service location.
The following provider types are temporarily exempt because they do not have an avenue for enrollment at this time: Provider type 07, Specialized Therapeutic Services; and out-of-state provider type 16, Residential and Freestanding Psychiatric Facility. A future termination date of September 1, 2024, will be placed for provider type 97, Managed Care Treating Provider – Non-Medicaid.
Providers are strongly encouraged to enroll as quickly as possible to ensure services are not interrupted. Please go to my Medicaid-florida.com or call the Florida Medicaid Provider Enrollment Call Center at 800-289-7799 option 4 for details. This step will help to ensure Florida’s Medicaid beneficiaries continue to receive needed healthcare services and meet federal requirements.