Community Care Plan

CCP Provider Operations for Medicaid MMA, Florida Healthy Kids and CCP-administered employer plans; also the line for network-participation questions.

CCP Medicaid MMA claim inquiries (or PlanLink/Guest Claims); the important-contacts page lists the same number for MMA prior authorization inquiries. It is also the MMA member services number.

CCP Florida Healthy Kids claim inquiries; the important-contacts page lists it for FHK prior authorization inquiries, case management and member services.

Electronic claims via Availity, payer ID 59065. Mail paper claims with attachments to the MMA box. Timely filing 180 days from date of service.

Electronic claims via Availity (registration help 1-800-282-4548). Mail paper FHK claims with attachments to the FHK box.

Providers without PlanLink credentials may fax FHK claim appeals with complete information and the Provider Claim Appeal Form. MMA appeal fax withheld: the MMA billing page shows (954) 417-7106 while the important-contacts page shows (954) 417-7187 for MMA.

Help using PlanLink or Guest Claims for claim status (MMA and FHK pages).

Florida Medicaid MMA PBM is Prime Therapeutics. Specialty pharmacy help desk 866-554-2673 (fax 866-364-2673).

CCP prior authorization fax for J-codes and medical procedures, shown on the MMA pharmacy page.

FHK pharmacy PA phone. Fax withheld: the same FHK page gives 866-291-3728 (non-formulary PA review) and 800-424-7913 (PA fax).