Medicaid Announces Simply Better Health to Manage MediPass Program for 31 Counties Effective Oct. 1

The Agency for Health Care Administration has entered into a contract with Simply Better Health (SBH), to function as a managing entity for the MediPass Program in 31 counties. You will see little change in the way you request authorization for services. The documentation needed to receive approval for services will not change.

As the managing entity, Simply Better Health has partnered with eQHealth Solutions, Inc. to perform prior authorization of inpatient, home health, therapy, and outpatient diagnostic services for MediPass recipients in the 31 counties listed below. Effective October 1, 2012, providers must request an authorization for these services from Simply Better Health for MediPass recipients in these counties:

Alachua, Bradford, Bay, Calhoun, Collier, Columbia, Charlotte, Desoto, Dixie, Escambia, Franklin, Gilchrist, Glades, Gulf, Hamilton, Hardee, Holmes, Indian River, Jackson, Lafayette, Levy, Monroe, Okaloosa, Okeechobee, St. Johns, Santa Rosa , Suwannee, Taylor, Union, Walton, Washington

If a MediPass recipient resides in one of the counties listed above and receives services outside of their county of residence, the provider must request an authorization for services from Simply Better Health.

Simply Better Health will be hosting webinar training sessions. To learn more about Simply Better Health or to sign-up for a training session, please visit their website at www.simplybh.com or call them toll-free at (855) 461-0622.

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