Medicaid

How to Get Credentialed with Florida Medicaid in Florida

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Florida-Specific Requirements

Florida Medicaid (Managed Medical Assistance - MMA) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the AHCA (Agency for Health Care Administration) provider enrollment portal. (3) Submit application with FL state license, proof of malpractice insurance, and required documentation. (4) Complete Level 2 background screening which includes fingerprints and photograph, required for all providers through the AHCA clearinghouse. Florida operates Statewide Medicaid Managed Care with multiple MCOs across regions. Behavioral health providers accepted include LMHC, LCSW, LMFT, and Licensed Psychologist with active Florida licensure. Revalidation is required every 5 years.

Medicaid Information — Florida

Agency: Agency for Health Care Administration (AHCA)

Program: Florida Medicaid

Portal: https://flmmis.com/FLPublic/

Phone: 1-800-289-7799

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Florida.

2

Prepare Your Application

Complete Florida Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Florida Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Level 2 background screening required

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Florida Medicaid (FLMMIS) Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-289-7799

General Provider Inquiries

National

1-800-289-7799

Quick Links

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