Letter to CMS - Medicaid Managed Care Policies - Agency for ...

Vendor Name:
Review Period:
Date of Review:
Reviewer:
Participating Vendor Staff Member:
Agency For Health Care Administration
Managed Care Organizations
Online Provider Directory Audit Tool
Online Provider Directory Review Tool
Item Number Standard Found in Directory Reference Comments
1
2
3
The health plan arranges the Provider Directory as follows:
a. Providers are listed in alphabetical order, showing the provider’s name
and specialty.
b. Providers are listed by specialty, in alphabetical order.
Information relating to:
a. The names of the providers
b. The locations of the providers
c. The office hours
d. The telephone numbers
e. The non-English languages spoken by the current health plan
providers
Information relating to:
a. Primary Care Providers (PCPs)
b. Specialists
c. Pharmacies
d. Hospitals
e. Certified nurse midwives
f. Licensed midwives
g. Ancillary providers
a. Y N
b. Y N
The online provider directory includes:
a. Y N
b. Y N
c. Y N
d. Y N
e. Y N
a. Y N
b. Y N
c. Y N
d. Y N
e. Y N
f. Y N
g. Y N
CC-IV.A.7.f.1-2
CC-IV.A.7.b
CC-IV.A.7.b
4 Identification of providers who are not accepting new patients. Y N CC-IV.A.7.b
Managed Care Organizations Page 1
Online Provider Directory Audit Tool F1_03_10
Florida Medicaid