Simply Healthcare Plans, Inc. (Simply) offers coverage to FHK-eligible children in all 11 regions of Florida, representing 67 counties.
FHK’s mission is to ensure the availability of child-centered health plans that provide comprehensive, quality health care services. The program has a subsidized plan for children ages 5 through the end of age 18 whose families exceed the income eligibility threshold for Medicaid, as well as full-pay options available for those who don’t qualify for subsidized coverage
The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
If you are interested in hosting a Clinic Day or want to schedule your Clinic Day, read this bulletin to learn more.
Simply and CHA are committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.
Please refer to the Hospitalist Group Update Bulletin for information on changes made to our preferred hospitalist groups in Miami-Dade, Broward and Palm Beach counties.
Effective June 20, 2022, Simply and CHA will require all expedited service authorization requests be submitted via the Availity web portal.
We would appreciate you taking part in this quick survey for us to determine what we could do more of, where we fall short, and how we can better collaborate with you to serve our members - your patients.
Effective May 1, 2022, Dermatology Network Solutions will be the statewide subcontractor providing dermatology services to Simply and CHA members.
Simply is committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.
Please refer to the Hospitalist Group Update Bulletin for information on changes made to our preferred hospitalist groups in Miami-Dade, Broward and Palm Beach counties.
Under the Medicare Modernization Act of 2003 (MMA), Congress created a new type of Medicare Advantage coordinated care plan focused on individuals with special needs. Special Needs Plans (SNPs) were allowed to target enrollment to one or more types of special needs individuals identified by Congress as: 1) institutionalized and/or institutionally equivalent; 2) dually eligible; and/or 3) individuals with severe or disabling chronic conditions.
Please visit the Availity portal.
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The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
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Simply is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.
The National Committee for Quality Assurance has awarded an accreditation status of Accredited for service and clinical quality that meets the basic requirements of NCQA’s rigorous standards for consumer protection and quality improvement.
NCQA Health Plan Accreditation surveys include rigorous on-site and off-site evaluations of over 60 standards and selected HEDIS® measures. A team of physicians and health plan experts conducts accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditations level based on the performance of each plan being evaluated to NCQA’s standards.