Get Request For Services Requiring Prior ... - Simply Healthcare Plans

Florida KidCare is the umbrella brand for the four government-sponsored health insurance programs – Medicaid, MediKids, Florida Healthy Kids and the Children's Medical Services (CMS) Health Plan – that together provide a seamless continuum of coverage for Florida children from birth through the end of age 18.

Simply is a managed care organization serving Statewide Medicaid Managed Care Managed Medical Assistance (SMMC MMA), Florida Healthy Kids and Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) members in Florida.

Prior approval is required for all services by a provider who is not in the Sunshine Health network. The only exception is for emergency care. Emergency room or urgent care visits do not require prior authorization.

In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. The program has three parts: Managed Medical Assistance, Long-Term Care, and Dental.

Simply Healthcare Holdings was acquired by Elevance Health on Dec 22, 2014 .

Statewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services.

Our Medicaid and Florida Healthy Kids plans Simply serves members in Florida's Statewide Medicaid Managed Care Managed Medical Assistance (MMA) and Long-Term Care (LTC) programs, as well as members enrolled in Florida Healthy Kids.