- 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
Respiratory Conditions office resource tools relating to quality measures.
Florida Health Care Plans (FHCP), an affiliate of Blue Cross Blue Shield of Florida, strives to cover procedures, treatments, devices and drugs proven to be safe and effective for a particular disease or condition. We also continually look at new medical advances and technology for consideration of FHCP coverage and payment purposes to determine if any is superior to those already in use. To aid in the decision-making for the development of these Medical Policies (Medical Coverage Guidelines), we consult expert sources, such as the views of physicians practicing in the relevant clinical area, review of clinical studies published in respected scientific journals and the opinions from various specialty medical organizations. We provide our Medical Policies (Medical Coverage Guidelines) to our members, physicians and providers so that all are apprised of the criteria used in determining coverage for payment purposes.
- Use of Appropriate Medications for People with Asthma
- Medication Management for People with Asthma
- Appropriate Testing for Children with Pharyngitis
- Careful Antibiotic Use: Pharyngitis in Children
- Acute Pharyngitis in Adults
- Avoidance of Antibiotic Treatment in Adults with Acute Bronchitis
- Acute Cough Illness in Adults (Acute Bronchitis)
- Adult Appropriate Antibiotic Use Summary
- Nonspecific Upper Respiratory Tract Infection in Adults
- Acute Bacterial Rhinosinusitis in Adults
- Pharmacotherapy Management of COPD
- Appropriate Treatment for Children with Upper Respiratory Infections
- Careful Antibiotic Use: Rhinitis versus Sinusitis in Children
- Careful Antibiotic Use: Cough Illness/Bronchitis in Children
- Careful Antibiotic Use: Pediatric Appropriate Treatment Summary
- Careful Antibiotic Use - Practice Tips
- A Guide for Parents - Questions & Answers About A Runny Nose (patient education handout in English and Spanish
