Florida Medicaid (Fee-for-Service)
MedicaidAlso covers: FL Medicaid FFS, AHCA Medicaid, FMMIS, Gainwell
Payer ID
Varies — confirm via portal / clearinghouse
No single universal EDI ID — FFS claims route through the FMMIS/Florida Medicaid Secure Web Portal (DDE) or a clearinghouse-specific Florida Medicaid payer ID. Verify per clearinghouse.
Timely Filing Limit (TFL)
12 months (1 year) from date of service; exceptions via AHCA Form 2040 within 6 months of discovery
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse
FMMIS direct (DDE) or any enrolled clearinghouse
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.flmmis.com
Administered by FL AHCA with fiscal agent Gainwell Technologies; this is the FFS sliver — most FL Medicaid recipients are in SMMC managed-care plans.
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
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