Provider materials and tools

Balance Billing

Magellan Complete Care values the exceptional level of service and care that our providers give to our members. As we continue to expand the practitioner network to support our members, it is important that we remind the provider community about balance billing. All providers; regardless of their affiliation with Magellan Complete Care, are not permitted to balance bill members.

 

Examples of balance billing includes; billing a member for:

  • A co-payment
  • Upfront payment
  • Covered Services
  • Missed appointment charges

 

Missed appointments are considered by AHCA as a part of the provider’s overall cost of doing business. As a provider, it is your responsibility to verify eligibility at the time of each office visit. To find more information about balance billing, please refer to our Provider Handbook, which can be found on our website at MCCofFL.com.

 

Non-Medicaid or Non Magellan Complete Care contracted providers:

We appreciate the high level of service that you have provided to our members. Our goal is to partner with you to ensure that our members receive the best care possible; and that you receive timely payments for services that you provide to our members. To become a Magellan Complete Care contracted provider, please call us at 1-800-327-8613.

To receive payment without contracting with Magellan Complete Care, Medicaid, or come under obligation to accept new Magellan Complete Care members; providers must register for a Medicaid registration only ID. This applies only to providers who are non-Medicaid or not a Magellan Complete Care contracted provider that have performed services for a Medicaid member.

 

To register for a Medicaid ID, please complete the form on AHCA’s website.

Please send the form or any questions to Magellan Complete Care’s Provider Relations department.

You can also view a complete list of Medicaid Covered Services and also find more provider information in AHCA's Provider General Handbook.

 

If you have any questions, please call us at 1-800-327-8613.

 

 

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Posted on 3/8/2018