Florida Medicaid Provider Phone Number Official Contact & Help Guide

Florida Medicaid Provider Phone Number Official Contact Guide for Healthcare Providers

Navigating Medicaid as a healthcare provider in Florida can be complex — especially when you need quick answers about claims, patient eligibility, or enrollment. Whether you're a billing manager, physician, or part of a provider group, having the correct Florida Medicaid provider phone number can save time and frustration.

In this guide, you’ll find verified contact details, operating hours, and online tools to help you resolve issues quickly.

✅ Why You Might Need to Call Medicaid Provider Services

Florida Medicaid providers commonly reach out for:

• Verifying recipient eligibility
• Submitting or checking claims
• Portal password reset or technical help
• Understanding prior authorization requirements
• Enrolling or updating provider details

Having direct access to the right support line ensures smoother operations — and faster resolutions.

📞 Key Florida Medicaid Provider Phone Numbers (Fee-for-Service)

Service Type	Phone Number	Hours
Provider Services & Claims Support	1‑800‑289‑7799 (Option 7)	Mon–Fri, 7 AM–6 PM ET
Enrollment Support	1‑800‑289‑7799 (Option 4)	Mon–Fri, 8 AM–5 PM ET
Web Portal Password Help	1‑800‑289‑7799 (Option 5)	Mon–Fri, 7:30 AM–6 PM ET
Automated Voice Response System (AVRS)	1‑800‑239‑7560	Available 24/7

💡 Tip: When calling, have your NPI number, Medicaid ID, and any claim reference numbers ready for faster support.

🏥 Medicaid Managed Care Providers (MCO) – Contact Numbers

If you work with Medicaid Managed Care (e.g., Sunshine Health or Molina), contact their provider lines directly:

🔸 Sunshine Health (Managed Medicaid Plan)

• Provider Services: 1‑844‑477‑8313
• Visit Provider Portal »

🔸 Molina Healthcare of Florida

• Provider Services: 1‑855‑322‑4076
• Visit Molina Provider Resources »

Each plan may have its own billing guidelines, prior auth rules, and portal access — so it's best to contact them directly for plan-specific questions.

🧾 Medicaid Recipient Help Line (For Patients)

If you're assisting a patient or recipient with Medicaid-related concerns:

• Florida Medicaid Recipient Helpline: 1‑877‑254‑1055
• TDD (Hearing Impaired): 1‑866‑467‑4970
• Hours: Monday to Friday, 8 AM to 5 PM ET

💻 Accessing the Florida Medicaid Provider Web Portal

For many day-to-day tasks, the online portal is your go-to solution:

• Website: https://home.flmmis.com/
• Services include:
• Patient eligibility verification
• Claims submission & tracking
• Provider updates and revalidation
• Prior authorization status

🔐 Locked out of your account? Use 1‑800‑289‑7799 (Option 5) for password reset assistance.

❓ Frequently Asked Questions

Q1: How do I enroll as a Medicaid provider in Florida?

You must apply through the Florida Medicaid Provider Enrollment Portal and submit required documents like your NPI, license, W-9, and insurance verification.

Q2: How long does enrollment take?

Typically, the review and approval process takes 30 to 45 business days after all documents are submitted.

Q3: Can I check claim status online?

Yes — the FL Medicaid Provider Portal allows real-time claim tracking once you're registered and logged in.

📌 Final Thoughts

Healthcare providers deserve fast, accurate support when serving Medicaid recipients. By using the official Florida Medicaid provider phone numbers and tools listed here, you can reduce downtime, prevent billing issues, and focus more on patient care.

Bookmark this guide for your office or billing department, and consider sharing it with new team members during onboarding.