Transcription
PROVIDER REFERRAL GUIDE – BREVARD COUNTYTHE FHCP PROVIDER REFERRAL GUIDES CAN BE FOUND ATWWW.FHCP.COM – PROVIDERSAND THE FHCP PROVIDER PORTALThese links make the Referral Guidelines easily accessible, and they are updated monthly.The guides are interactive as well – NO need to scroll!Helpful Tips when navigating these guides:1. By typing Ctrl F – it brings up the “Find” function box. Type the Specialty in the “Find” box, it willdisplay exact matches to the user. The user should then select the appropriate match they are trying toreference.Once selected, it transports the user directly to the specialty, under the Table of Contents. Click on theSpecialty. That will then lead the user to the desired selection.or2. Go directly to the Specialty of your choice in the Table of Contents and click on the Specialty and it willtake you to the specialty section selected.3. By typing Ctrl Home – will bring the user back to the top of the PDF document.1July/2022 Brevard
PROVIDER REFERRAL GUIDE – BREVARD COUNTYCHECK OUT OUR WEBSITE!!! www.fhcp.comFHCP Central Referral Department386 / 238-3230 or 800 / 352-9824 (Ext. 3230)Fax: 386 / 238-3253 or 855 / 442-8398Manager - Central Referral Department / Sue Schack, L.P.N.386 / 676-7100 or 800 / 352-9824 (Ext. 3230)Clinical Supervisor – Central Referral Department / Jane Vesta, L.P.N.386 / 676-7100 or 800 / 352-9824 (Ext. 3230)Provider Relations Coordinator – Brevard / Katherine Sonn321 / 567-7755 or 800 / 352-9824, (Ext. 3883)FHCP Case Management Utilization Review Department386 / 676-7187 or 866 / 676-7187Case Management Coordination of Care Department386 / 238-3284 or 855 / 205-7293Provider Benefit & Eligibility Questions386 / 615-4024 or 844 / ****************************Indicates pre-authorization neededBy FHCP Central Referrals Department.For URGENT requests that require pre-authorization, the requesting provider/staff MUST CALL FHCP CentralReferrals at 386 / 238-3230 or 800 / 352-9824 (Ext. *************************Services that require pre-authorization must have documentation as to the medical necessity. If that documentation is not available, your request maybe denied. Please refer to your Provider Referral Guide for assistance in referring your patients for services.2July/2022 Brevard
TABLE OF CONTENTSThe Table of Contents listed below outlines Florida Health Care Plan’s Preferred Participating ProvidersACUPUNCTURE. 8APPLIED BEHAVIOR ANALYSIS (ABA THERAPY) . 8ALLERGY. 9AMBULATORY SURGERY CENTERS. 9ARTERIAL BLOOD GASES (ABG’s) . 10AUTISM SPECTRUM DISORDER (ASD) . 10BARIATRIC SURGERY PROGRAM . 11BEHAVIORAL HEALTH . 12BEHAVIORAL HEALTH – OUTPATIENT . 14BEHAVIORAL HEALTH – CHILD & ADOLESCENT. 19BEHAVIORAL HEALTH – INPATIENT . 20BEHAVIORAL HEALTH – RESIDENTIAL TREATMENT FACILITY . 21BIRTH CENTER . 22BONE DENSITY STUDIES . 23BONE GROWTH STIMULATORS . 25BONE SCANS . 26BRACES / ORTHOTICS / PROSTHETICS. 28CARDIAC CATHETERIZATION . 31CARDIAC MONITORING . 32CARDIAC REHABILITATION . 33CARDIOLOGY . 34CARDIOLOGY- NUCLEAR. 37CASE MANAGEMENT COORDINATION OF CARE DEPARTMENT . 40CHIROPRACTIC . 43COLOGUARD TESTING . 44COLONOSCOPY / SCREENING . 44CONTRACEPTION . 46CT SCANS . 47DENTAL SERVICES - MEDICAL . 50DERMATOLOGY . 51DIABETES EDUCATION. 53DIALYSIS SERVICES . 543July/2022 Brevard
DISEASE MANAGEMENT PROGRAMS . 56DURABLE MEDICAL EQUIPMENT . 58DURABLE MEDICAL EQUIPMENT – SPECIAL . 59EAR, NOSE AND THROAT (ENT) . 60ECHOCARDIOGRAMS . 61EEG TESTING . 62EEG TESTING – VIDEO . 63ELECTROCARDIOGRAMS (EKG’S) . 64EMG TESTING . 64ENDOCRINOLOGY. 65FACILITIES: NOT LISTED IN FHCP DIRECTORIES. 66GASTROENTEROLOGY . 67GENETIC TESTING . 70GERIATRIC MEDICINE . 70GLUCOMETERS . 71GYNECOLOGY AND WELL WOMAN’S ASSESSMENTS . 72HEARING / AUDIOLOGY TESTING SERVICES. 74HOLTER MONITOR . 75HOME HEATH CARE . 76HOME INFUSION PHARMACIES . 77HOSPICE. 77HOSPITAL ADMISSIONS . 78HYPERBARIC OXYGEN THERAPY (HBO) . 80IMMUNIZATIONS. 81INFECTIOUS DISEASES . 82INFUSION CLINIC . 83INFUSION SERVICES (INFUSION PUMPS FOR CHEMOTHERAPY) . 83INSULIN PUMPS . 84INTERPRETER SERVICES. 86INTERVENTIONAL & VASCULAR RADIOLOGY . 88LABORATORY SERVICES-HOME . 88LABORATORY SERVICES – ROUTINE AND STAT . 89LABORATORY SERVICES – STAT . 92LACTATION SERVICES/BREASTFEEDING CLASSES . 93LOOP RECORDERS . 93LYMPHEDEMA CLINIC . 94MAMMOGRAMS (DIAGNOSTIC OR SCREENING) . 96MEDICATIONS . 984July/2022 Brevard
MOBILE IMAGING SERVICES . 99MRI’S . 100NEPHROLOGY . 103NEUROLOGY . 104NON-LISTED PROVIDERS . 106NUTRITION EDUCATION . 107OBSTETRICS . 108OCULAR PROSTHETICS LAB . 109ONCOLOGY–MEDICAL/HEMATOLOGY . 110ONCOLOGY – MEDICAL/HEMATOLOGY THERAPY – COMMERCIAL MEMBERS . 111ONCOLOGY-MEDICAL/HEMATOLOGY THERAPY – MEDICARE MEMBERS . 111ONCOLOGY-RADIATION . 112OPHTHALMOLOGY . 113OPHTHALMOLOGY- CORNEAL SERVICES . 115OPHTHALMOLOGY – RETINAL SERVICES . 116OPTOMETRY . 117OPTOMETRY – LOW VISION . 119ORAL SLEEP APNEA APPLIANCES . 120ORTHOPAEDICS – SPORTS MEDICINE- NON-SURGICAL TREATMENT . 121OUTPATIENT REHABILITATION . 122OUTPATIENT REHABILITATION - HAND THERAPY SERVICES. 126PALLIATIVE CARE . 126PAIN MEDICINE . 127PATHOLOGY – OUT-PATIENT/AMBULATORY . 128PEDIATRICS . 129PEDIATRIC HOSPITAL . 129PEDIATRIC-SUB-SPECIALTIES . 129PELVIC HEALTH PROGRAM . 130PET SCANS . 131PHARMACY. 132PHARMACY-PREFERRED RETAIL PHARMACY. 133PHYSICAL MEDICINE AND REHABILITATION SERVICES . 134PICC & MIDLINE PLACEMENT . 134PODIATRY . 135PRIMARY CARE . 137PROVIDER PORTAL REGISTRATION. 137PROVIDERS: NOT LISTED IN FHCP DIRECTORIES . 137PULMONARY FUNCTION TESTS (PFTs) / SPIROMETRY . 1385July/2022 Brevard
PULMONARY FUNCTION TESTS (PFTs) with DLCO) . 139PULMONARY REHABILITATION . 140PULMONOLOGY . 141REPORTABLE DISEASES/CONDITIONS . 143RHEUMATOLOGY . 144SKILLED NURSING FACILITY. 145SLEEP DISORDER PROVIDERS . 146SLEEP DISORDER PROVIDERS – HOME STUDIES . 148SUBSTANCE USE DISORDERS / RESIDENTIAL . 149SUBSTANCE USE DISORDERS – OUTPATIENT CARE. 149SUBSTANCE USE DISORDERS & MENTAL HEALTH– INTENSIVE OUTPATIENT PROGRAMS . 150SURGERY-CARDIOTHORACIC . 151SURGERY-CARDIOVASCULAR . 152SURGERY-COLON . 153SURGERY-GENERAL. 154SURGERY GYNECOLOGY ONCOLOGY . 156SURGERY-HAND . 156SURGERY-MOHS . 157SURGERY- NEURO . 158SURGERY-ORAL . 159SURGERY-ORTHOPAEDICS . 160SURGERY-PLASTIC . 163SURGERY-THORACIC . 164SURGERY–VASCULAR . 165SURGICAL FACILITIES .
FHCP Central Referral Department 386 / 238-3230 or 800 / 352-9824 (Ext. 3230)
