Provider Resources

As our provider partners, one of AmeriHealth Caritas Florida's goals is to provide you the resources that you need in a clear, easy-to-find manner. In this section, you'll find items such as member benefit information, credentialing and prior authorization, and how to file a grievance or complaint.

Hospital resources

• Covered services: Expanded benefits guide (PDF)
  A guide detailing all expanded benefits available to AmeriHealth Caritas Florida Medicaid members.
• Resource guide (PDF)
  Department resource guide with information that may be helpful in assisting with coordination and authorization as part of a discharge plan.
• Prior authorization
  Information and processes regarding prior authorization for member treatment and services.

Other resources

• Behavioral health and substance use
  Education and support for our network providers.
• Clinical resources
  Clinical practice guidelines and related information for providers.
• COMPASS program guide (PDF)
  AmeriHealth Caritas Florida COMPASS program guide.  
• Covered services: Expanded benefits guide (PDF)
  A guide detailing all expanded benefits available to AmeriHealth Caritas Florida Medicaid members. 
• EHR incentives/meaningful use
  Electronic health records (EHR) overview for providers and healthcare professionals on the HealthIT.gov website.
• EPSDT/Child Health Check-Up Visits
  Early and Periodic Screening, Diagnostic and Treatment.
• Forms
  All the forms you need in one place.
• Healthy Behaviors programs
  Information about programs that reward members for implementing healthy behaviors.
• Opioid overdose prevention
  Opioid information from the Centers for Disease Control and Prevention (CDC).
• Provider manual (PDF)
  Explore the latest provider manual, which now fully incorporates the claims manual.
• Resource guide (PDF)
  Department resource guide with information that may be helpful in assisting with coordination and authorization as part of a discharge plan.
• Subcontractor/vendor training (PDF)
  Guidelines for vendors to ensure compliance.
• Telehealth (PDF) 
  Telehealth attestation form.

If you have questions or require more information, call Provider Services at 1-800-617-5727 to speak to a representative.