SIMPLY HEALTHCARE PROVIDERS
Prior Authorization for Acupuncture coverage is now available for Simply Healthcare and Clear Health Alliance Medicaid Managed Care recipients.
Chiro Alliance Corporation (CAC), an eviCore company, will process prior authorization requests for acupuncture as part of the phased in rollout for Simply Healthcare and Clear Health Alliance Medicaid Managed Care recipients. Phase 1, effective December 1, 2018 is for Florida Regions 9 (Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties), 10 (Broward county), and 11 (Miami-Dade and Monroe counties).
Prior authorization requests can be faxed to 1-716-809-8324.
To assist you with your questions, CAC Customer Service is available Monday through Friday 8:30 am – 5 pm ET at 1-877-434-8258; TTY users may call 711.
Florida Chiropractors authorized by the Florida Board to provide acupuncture services are eligible to participate in the acupuncture network. New providers will receive a welcome package with additional education and training about prior authorization requirements, how to obtain and use the web portal.
Phase 2 rollout is scheduled for January 1, 2019 (Simply Healthcare Medicaid Managed Care in Regions 5, 6, 7, and 8 as well as Medicare) with Phase 3 scheduled for Clear Health Alliance in Regions 1, 2,3, and 4 on February 1, 2019.