LOG IN Providers Welcome, providers! Resources that help health care professionals do what they do best — care for our members. At Simply Healthcare Plans, Inc. (Simply), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use. Join our Network Launch Availity Precertification Claims & Disputes Forms Education & Training COVID-19 Information from Simply Healthcare Plans, Inc. Simply Healthcare Plans, Inc. is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. View COVID-19 updates Florida Healthy Kids Award Simply Healthcare Plans, Inc. (Simply) has officially been awarded a Florida Healthy Kids (FHK) statewide contract. Effective January 1, 2020, Simply will offer coverage to FHK-eligible children in all 11 regions, representing 67 counties. FHK’s mission is to ensure the availability of child-centered health plans that provide comprehensive, quality health care services. The program has a subsidized plan for children ages 5 through the end of age 18 whose families exceed the income eligibility threshold for Medicaid, as well as full-pay options available for those who don’t qualify for subsidized coverage. The FHK plan is designed specifically with kids in mind and provides children with access to the services they need at each unique stage of growth and development. Health services are delivered through our network of local doctors, specialists, hospitals, pharmacies and other health care providers. FHK program Provider news The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more. Medicaid/Florida Healthy Kids updates Important notice: Discharge Planning updates Effective November 15th, 2021, our dedicated Discharge Planning Team will have their own fax line 844-410-6889. Providers who need to coordinate discharge needs for our members will send all requests to this fax line and this team will take care of the rest! Important notice: Discharge Planning updates Important notice: Updated DME and Home Health Authorization Form Effective December 1, we will be implementing a new DME and HH Authorization Form. Important notice: Updated DME and Home Health Authorization Form Important notice: licensed midwives billing This notice is being provided to remind Simply and CHA contracted midwives of the most current HCPC/CPT Coding requirements for billing Midwife services. Important notice: licensed midwives billing SBIRT CME Opportunity AHCA announces a CME learning opportunity free of cost for eligible providers. In this online CME program, providers will learn how to use SBIRT in their daily practices. This learning event particularly emphasizes SBIRT practice tips in the evaluation and management of pregnant women. SBIRT CME Opportunity Electronic Medical Record Data Feed Bulletin Providers using EMR technology can seamlessly increase HEDIS® scores via a secure data feed. Electronic Medical Record Data Feed Bulletin Medicare updates Electronic Medical Record Data Feed Bulletin Providers using EMR technology can seamlessly increase HEDIS® scores via a secure data feed. Electronic Medical Record Data Feed Bulletin Our new relationship with American Specialty Health Simply and CHA are contracting with American Specialty Health Group, Inc.* (ASH) to provide quality acupuncture and chiropractic services Our new relationship with American Specialty Health Reminder: provider incentive for medication reconciliation Did you know that Simply pays $25 when a member’s medications post-hospital discharge has been reconciled with the current medication list in outpatient medical record? Reminder: provider incentive for medication reconciliation 2020 SNP Models of Care Annual Evaluations 2020 SNP Models of Care Annual Evaluations Looking for the secure portal? For Medicaid services provided before the rollout of the new Statewide Medicaid Managed Care and Managed Medical Assistance contract or Medicare services providers before January 1, 2019, please visit the previous Simply provider portal. Simply legacy provider portal For services provided after the new Medicaid and Medicare plan rollouts, please visit the Availity portal. Log in to Availity Don't have an Availity account? Register for free now! Need help with Availity? Learn more Availity access The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. At Availity, you can: Request Authorizations. Submit Claims. Confirm Eligibility. Log in to Availity Don't have an Availity account? Register for free now! Receive email from Simply Simply is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Sign Up Now Featured resources Pharmacy Information Search for up-to-date drug information, including hundreds of brand-name and generic medications. View pharmacy information Maternal Child Program When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. Learn about the Maternal Child program Behavioral health provider We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities. Learn about behavioral health resources NCQA Health Plan Recognition The National Committee for Quality Assurance has awarded an accreditation status of Accredited for service and clinical quality that meets the basic requirements of NCQA’s rigorous standards for consumer protection and quality improvement. NCQA Health Plan Accreditation surveys include rigorous on-site and off-site evaluations of over 60 standards and selected HEDIS® measures. A team of physicians and health plan experts conducts accreditation surveys. A national oversight committee of physicians analyzes the team’s findings and assigns an accreditations level based on the performance of each plan being evaluated to NCQA’s standards. Provider survey We want to hear from you! Please help us improve our provider website by taking this brief survey. Begin Survey Provider tools & resources Log in to Availity Learn about Availity Precertification Lookup Tool Precertification Requirements Claims Overview Member Eligibility & Pharmacy Overview Provider Manuals and Guides Referrals Forms Provider Education Pharmacy Information Electronic Data Interchange Interested in becoming a provider in the Simply network? We look forward to working with you to provide quality service for our members. Getting started with Simply Medicaid: 1-844-405-4296 Medicare Advantage: 1-844-405-4297 © 2021 Simply Healthcare Plans, Inc. Contact Us Privacy Policies Terms of Use Waste, Fraud and Abuse