Hurricane Milton – Key Medicaid Information for Fee-for-Service and Managed Care Providers

Florida Medicaid recipients maintaining access to critical Medicaid services (e.g., durable medical equipment and supplies, home health services, hospital services, nursing facility services, chemotherapy, dialysis services, etc.) is imperative during the State of Emergency related to Hurricane Milton. To this end, the Agency will ensure reimbursement for critical Medicaid services provided in good faith to eligible recipients who reside in the counties impacted by the storm.

Please continue providing services:

• The Agency will waive all prior authorization requirements for critical Medicaid services beginning October 7, 2024, through December 4, 2024.
• Early prescription refill edits have been lifted for all maintenance medications (Note: This does not apply to controlled substances).
• If a recipient requires critical Medicaid services beyond the limits stated in policy to maintain safety and health, providers can furnish the service.
• Preadmission Screening and Resident Review (PASRR) processes are postponed until further notice by the Agency. 
• Retroactively performed screenings or resident reviews must document the reason for delay in the completion of PASRR requirements.
• The Agency is waiving the PASRR process for recipients who evacuated due to an evacuation order or power outage and are admitted and discharged during the storm.
• Transportation vendors should continue providing services to all Medicaid enrollees as long as they are able.

To read Governor Ron DeSantis’ executive orders related to Hurricane Milton, please visit here [flgov.com].

Additional questions from providers may be directed to the Florida Medicaid Contact Center at 1-877-254-1055.