Medicaid for Home Care in Florida

Medicaid Certified Home Care Agency in Florida

Any homecare business can receive reimbursements from Medicaid in Florida if the agency is a certified HHA (Home Health Agency). With each state having its regulations, it is necessarily crucial for the homecare agency to ensure its eligibility before seeking reimbursement. The availability of certifications and license is mandatory in some states, and a complete checklist is provided by the specific state.

More information is provided by the respected state’s Human Service Department and Bureau of Licensing and Certification.

Governing Body: Statewide Medicaid Managed Care Program

Overview:

Medicaid in Florida is also known as the Statewide Medicaid Managed Care (SMMC) program that provides health care coverage for seniors, pregnant women, parents, children, disabled people, and former foster care recipients and non-citizens with medical emergencies.

Medicaid Programs:

  • Statewide Medicaid Managed Care (SMMC) Program
  • Long Term Care (LTC) Program
  • Working Disabled Program
  • Florida Discount Drug Card Program

Income Requirements:

  • For families who are making up to 100% of the FPL
  • For pregnant women who are making up to 135% of the FPL
  • For elderly, disabled or blind residents who are making between 88% and 150% FPL

Application Process:

To apply online for the available Medicaid programs in Florida, you can visit Access Florida.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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