COVID-19 news & updates
November 2, 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 on our website. They can be accessed by visiting https://client.mccfl.us/public/ and looking 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.
Please pay close attention to the waiver details, as waivers are coming to an end.

Aetna Better Health of Florida
(This applies to FL ONLY)
Aetna will continue to waive prior authorization for Medicaid members. Notification is required within 48 hours of admission. Please see the waiver flyer for further direction the plan requests that you to follow. Aetna will provide 14 days’ notice prior to the waiver ending.

Florida Blue
(This applies to FL ONLY)
Florida Blue will now waive prior authorization through December 31, 2021 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.

Humana
(This applies to MI ONLY)
Humana will waive prior authorization through November 14, 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 now waive prior authorization for Medicaid members notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow.

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. Please 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.