2018 Hospital UR Plan Submission
As part of eQHealth Solutions’ contract with the Florida Agency for Health Care Administration (the Agency), eQHealth Solutions is required to annually review the utilization plans for all Medicaid participating hospitals to ensure compliance with the Code of Federal Regulations Title 42 Part 456 (Utilization Control §456.60–§456.145). Please be aware that hospitals must adhere to the submission timelines provided by eQHealth Solutions, which reflect the Agency’s guidelines.
- ALL 2018 UR PLANS MUST BE SUBMITTED NO LATER THAN JUNE 15th, 2018.
- INCLUDE YOUR MEDICAID PROVIDER ID # ON YOUR PLAN AND ALL HOSPITALS YOUR ID# COVERS.
- INCLUDE A CONTACT PERSON WITH THEIR EMAIL AND A PHONE NUMBER SHOULD WE HAVE ANY QUESTIONS.
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, the corrections must be received prior to the deadline.
Attention PAC Waiver Providers
PAC Waiver has transitioned to Managed Care, effective January 1, 2018. For additional information, please visit the Agency’s website for information on Florida Medicaid’s PAC Waiver Changes :
Florida Medicaid PAC Waiver changes (Click Here)
Attention Home Health Providers
Home health administrators, directors of nursing, billing staff, as well as other designated individuals are encouraged to attend training on the Electronic Visit Verification (EVV) System.
Please visit the EVV Training page to sign up for training session date(s) and time(s) that best fits your schedule.
Hurricane Irma Update from eQHealth Solutions:
Given the recent events of Hurricane Irma, we would like to share that eQHealth Solutions is fully operational at this time.
We are working closely with AHCA to ensure that your needs are met, and we invite you to notify us immediately should you encounter any difficulties with our systems or processes. Please dial 855-444-3747 for Customer Support.
Our thoughts go out to those affected by Hurricane Irma, and we’re committed to providing you with the support you need during recovery
Hurricane Irma - Message from AHCA: