COVID-19 news & updates
August 4, 2021
MCCFL is receiving information from many of the insurance plans regarding prior authorization processes and other updates related to COVID-19. We will continue to provide this information via email communication, however, for the most recent information, we are recommending you visit the health plan's website or call their provider line. We will also be placing the communications from the health plans that can be accessed by visiting https://client.mccfl.us/public/ under the tools and resources tab in the Coronavirus folder. As best practice we still suggest you initiate authorization process, prior to admission. Please note that unless specified, out of network status still applies to some of their requirements, please read carefully.
Aetna
(This applies to FL, KC, KS, MO, and TX ONLY)
Aetna will continue to waive prior authorization through August 23, 2021 Aetna Waiver 7.30.2021 for Commercial and Medicare Advantage members notification is required within 48 hours of admission. Please see the waiver flyer for further direction the plan wants you to follow.

CarePlus
(This applies to FL ONLY)
CarePlus will waive prior authorization CarePlus Waiver 8.04.2021. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.

Florida Blue
(This applies to FL ONLY)
Florida Blue will waive prior authorization FL Blue Waiver 8.01.2021 for Commercial and Medicare Advantage members notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.
Humana
(This applies to FL ONLY)
Humana will waive prior authorization through August 31, 2021 Humana Waiver 8.04.2021 for Commercial, Medicaid and Medicare Advantage members notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.

Simply
(This applies to FL ONLY)
Simply will waive prior authorization Simply Medicaid Waiver 8.04.2021 for Medicaid members notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow.

United Health
(This applies to FL ONLY)
UHC will continue to waive prior authorization through August 30, 2021 UHC Waiver 7.30.2021 for Medicare Advantage, Medicaid and Individual and Group Market health plan members notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow. This only applies to in-network providers.
Wellmed
(This applies to FL ONLY)
Wellmed will continue to follow UHC's waiver process and allow waiving prior authorization through August 30, 2021 UHC Waiver 7.30.2021 for Medicare Advantage, Medicaid and Individual and Group Market health plan members notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.

Medicaid - AHCA
(This applies to Florida ONLY)
  • Reinstatement of Interfacility Transfer Prior Authorization Requirements effective July 1, 2021. Notice
  • Reinstatement pf PASRR and Bed Hold requirements effective July 1,2021. Notice
  • Florida Medicaid COVID-19 Flexibilities ended July 1, 2021. Notice
Please note: Things are changing daily do not hesitate to reach out to your liaison if you have questions.
COVID-19 Updates
All of these articles can be found on our portal at MCCFL under tools. We will keep you abreast of this as it pertains to Managed Care.
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