eQHealth Solutions Customer Service:
Monday - Friday (except Florida state recognized holidays)
8:00am - 5:00pm (EST)
PDN and PCS Providers
There have been recent changes to the Florida Medicaid Policy for Personal Care Services and Private Duty Nursing. You can find this policy by clicking on one of the links below.
FL Medicaid Coverage Policy for Personal Care Services
FL Medicaid Coverage Policy for PDN Services
One of the biggest changes is that you are now be able to request up to 180 days for all admission requests. Please make sure that if you are requesting 180 days that the prescription for services match your request.
Attention DME Providers
If you are entering a DME request please make sure you are referencing the Florida Medicaid Fee Schedule for Prior Authorization Requirements. If you do not have a copy of the Fee Schedule you can find them on our website on the following link.
Florida DME Fee Schedule
Prior Authorization numbers
When referencing the Fee Schedule if the code you are requesting has a “PA” this means the code requires prior authorization and once approved you will receive your authorization letter with a PA#.
If the code you are requesting only states “Medical Necessity” this means the code requires prior authorization however it does not require a PA #. This means a PA# will NOT generate when you receive your authorization letter. To avoid a denial on your claims make sure to include your authorization letter with your claim submission.