- Medical Policies
- Pre-Certification / Pre-Service Authorizations
- Medical / Clinical Guidelines
- Clinical Practice Guidelines
Quick Links
- Find a Provider
- Provider Portal
- Formulary
- FHCP Prior Authorization Medication List
- Medco/State of Florida Medication Questions?
- Referral Form
- Surgical and Special Procedure Form
- Triple Option Pre Certification Form
- Diabetes and Nutritional Counseling Form
- Fraud, Waste & Abuse Training
- Attestation of Fraud, Waste & Abuse Training
- EDI Guides
Pre-Service Authorizations
Medical Pre-Service Authorization
- Click here for HMO pre-service authorization
- Click here for Triple Option pre-service authorization
- Click here for Florida Healthy Kids pre-service authorization
Request for Review
New information or technology that would be relevant to FHCP to consider when these policies are next reviewed may be submitted to:
Florida Health Care PlansClinical Services Division
1340 Ridgewood Avenue
Holly Hill, Florida 32117
1 800 352 9824 option 9
Please have your patient refer to the applicable endorsement or rider issued with his or her contract, Evidence of Coverage, member handbook or certificate of coverage to determine coverage. If your patient is unsure about particular coverage/benefits or has questions, please have the member call the Member Services number on his or her ID card.