• Overview
• Authorization for Service
  • Referral Department
  • Case Management Department
  • Request a HMO Pre-Authorization
  • Request POS or Triple Option Pre-Certification
  • Refer a Member for Complex Case Management
• Claims
  • Medicare Part D Vaccines
  • Submit Paper Claim
  • Electronic Data Interchange(EDI)
• Coding
• Contracting with Florida Health Care Plans
• Credentialing
• Provider Handbook
• Provider Relations
• Referral Guidance
  • Laboratory Orders for all Networks

Referral Guidance

Referral Guidance related to services for our Volusia and Flagler County HMO members is available for your reference.To access the document(s) Adobe Reader® must be installed on your computer. If you do not have Adobe Reader ®, you can download it for free by clicking here.

Referral Guidance Documents:

• Complete Referral Guidance

Available Forms:

• Preadmision/Preoperative Record
• Florida Health Care Plans Referral Form

FHCP Triple Option and Point of Service (POS) member plans are open access. These members may seek services both in and out of our network directly. They do not need a referral.