eQHealth Solutions Customer Service:
Monday - Friday (except Florida state recognized holidays)
8:00am - 5:00pm (ET)
855-444-3747 (toll free phone)
855-440-3747 (toll free fax)
As of March 1, 2017 The Fair Hearing Process has moved from being managed by DCF to now being managed by AHCA. The letters from eQHealth will be updated with the new information by the first of April until that time please be notified that the contact information for Fair Hearing is as follows:
You may ask for a fair hearing by contacting AHCA by telephone at (877)-254-1055, by fax at (239)-338-2642, in writing at, Agency for Health Care Administration Medicaid Hearing Unit P.O Box 60127 Ft.Myers, FL 33906 or by email at MedicaidHearingUnit@ahca.myflorida.com
Hospital UR PLANS
The review process for 2017 UR PLANS has begun. We will review your submission, suggest any recommendations if needed and respond back with the results. If recommendations are made you will be afforded the opportunity to make any changes or corrections and resend the UR PLAN back in for review. Please note that the deadline for your submissions are May 31st 2017. Any submissions received after the deadline will not be reviewed.
If you have any additional questions please contact firstname.lastname@example.org
PACWAIVER FAXED REQUESTS
Please note that as of April 10th, 2017, eQHealth Solutions will no longer be accepting faxed or emailed requests for PACWAIVER requests. These reviews will need to be entered in by your organization online via eQSuite.
INPATIENT & IMAGING FAXED REQUESTS
Please note that on August 1st, 2016, eQHealth Solutions will no longer be accepting faxed in inpatient or advanced diagnostic imaging requests. These reviews will need to be entered in by your organization or the respective provider via eQSuite online. Any faxed in requests specified above on or after August 1st, 2016, will not be reviewed.
MULTISPECIALTY FAXED REQUESTS
Please note that as of October 15, 2016, eQHealth Solutions will no longer be accepting faxed in multispecialty requests. These reviews will need to be entered in by your organization or the respective provider via eQSuite online. Any faxed in requests specified above or after October 15th, 2016 will not be reviewed.
If you would like assistance regarding entering in review requests via eQsuite, please refer to our online User Guide for assistance. If you have questions, please contact Provider Outreach at PR@EQHS.ORG.
How To Enroll As A Provider To Submit Reviews Online Using eQSuite
1) Find and download the appropriate Contact Form below for your service type.
2) Fill out the contact form, making sure that it is legible and knowing that the system administrator will receive an email with the initial username and password once the Contact Form has been processed.You may fax, email or mail this form in. FAX 855- 440-3747 EMAIL: email@example.com
3) After receiving the email with the username and password, the system administrator will then have access to login and to submit requests online. The system administrator can then assign additional usernames and passwords to those under that provider Medicaid number assigned. For more information regarding the System Administrator, please see the link below.
4) If you need further assistance with the process, please call customer service at 855-444-3747 or EMAIL: firstname.lastname@example.org
Please note that if you are submitting CDC+ reviews or Care Coordination requests, these are not currently submitted online and instead should either be faxed or mailed in. Authorization forms are under Forms and Downloads under each appropriate tab at the top. Thank you.
Statewide Inpatient Psychiatric Services (SIPP) Access Form
Dental Access Form
Diagnostic Imaging Access Form
DME Access Form
Home Health /PCS Access Form
Inpatient Access Form
Physician Access Form
PAC WAIVER Access form
Therapy Access Form
System Administrator Guide