December 2019
Happy Holidays from your Friends at Lighthouse Health Plan

Open Enrollment Reminder

This is a reminder that Medicaid Open Enrollment is December 1, 2019 through January 31, 2020 for Medicaid Regions 1 and 2, which is comprised of Escambia, Okaloosa, Santa Rosa, Walton, Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, and Washington counties.
 
Help us spread the word! 
Would you like to inform your patients about Open Enrollment on your social media or upcoming newsletter?  You may want to use the image here and any of the suggested posts below.

Social Media Post #1:
Medicaid open enrollment is Dec. 1 through Jan. 31 for Regions 1 and 2 which includes Escambia, Okaloosa, Santa Rosa, Walton, Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, and Washington counties.
As a reminder, we are contracted with:
Lighthouse Health Plan
<other plan>

To enroll in a plan or change plans, go to https://members.flmedicaidmanagedcare.com/account/login or call 1-877-711-3662, TTY 1-866-467-4970
Social Media Post #2:
Open enrollment for Florida’s Statewide Medicaid Managed Care program happens once a year for all CURRENT RECIPEINTS according to region. This open enrollment period takes place regardless of when you first became eligible, were assigned to a plan, or voluntarily joined a plan.
December 1 st through January 31 st is the open enrollment period for Regions 1 and 2 which includes Escambia, Okaloosa, Santa Rosa, Walton, Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, and Washington counties.

As a reminder, we accept:
Lighthouse Health Plan
<other plan>

Don’t wait! To enroll or change plans, go to https://members.flmedicaidmanagedcare.com/account/login or call 1-877-711-3662, TTY 1-866-467-4970
Claims & EIS Update 

To avoid potential denials/delays in processing your claims:

  • Ensure that all of the providers are effective on the PML/effective with AHCA

  • Obtaining authorizations for services that require them

  • Non-par/OON services all require authorization (minimal exceptions)

  • Ensure for SNF claims that a PASRR is submitted to the plan

Reminder for EIS Providers! There is no need for a prior-authorization when using the modifier for your claims.
Save the Date!

Lighthouse Health Plan will be celebrating our One Year Anniversary on Tuesday, January 21, 10 to 11 a.m.  We hope you will join us as we celebrate a fantastic first year of partnering with members, providers, and the community for better health in Northwest Florida.

Where: Lighthouse Health Plan Headquarters, 700 E Gregory St, Pensacola, Fl 32502 (Next to Maguire's).
A Message from Christie Spencer, Lighthouse Health Plan's Chief Executive Officer
Dear Provider Partners,  

It has truly been my pleasure and honor to serve as the Lighthouse Health Plan CEO over the past year. I am so impressed with the caliber and enthusiasm of the provider community serving Medicaid beneficiaries across the Panhandle.

Lighthouse is truly a unique and effective model and we cherish the opportunity to serve our members together with you and our community partners -- especially at times in their lives when they need our services the most. I thank you for your commitment to Lighthouse and I look forward to accomplishing great things together.
 
On behalf of the Lighthouse Board of Directors and our employees, I want to wish you a safe and happy holiday season.
 
With appreciation,
Christie Spencer

Call Provider Services
1-844-243-5181
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