Get Prior Authorization Forn F 11018 Qr Form

Ask for PA by calling us: Medicaid Managed Medical Assistance: 1-800-441-5501 (TTY: 711) Florida Healthy Kids: 1-844-528-5815 (TTY: 711)

If you have questions or need approval for out-of-network services, you can call Aetna Better Health of Florida toll free at 1-800-470-3555 (Comprehensive Long Term Care) / 1-800-441-5501 (Medicaid) / 1-844-528-5815 (Florida Healthy Kids). More info is in your member handbook.

A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

The provider must retain copies of all documentation for five years. Fax completed prior authorization request form to Aetna Better Health of Florida at 855-799-2554 or submit Electronic Prior Authorization through CoverMyMeds® or SureScripts.

A Florida Medicaid prior authorization form is used by medical professionals to request State Medicaid coverage for a non-preferred drug prescription in the State of Florida. A non-preferred drug is one that is not on the State-approved Preferred Drug List (PDL).

The PA/RF (Prior Authorization Request Form, F-11018 (05/2013)) is used by ForwardHealth and is mandatory for most providers when requesting PA (prior authorization) . The PA/RF serves as the cover page of a PA request. Providers are required to complete the basic provider, member, and service information on the PA/RF.

The list of services that need a prior authorization can include an admission to the hospital after your emergency condition has improved, power wheelchairs, home health visits, MRI X-rays, hospice care, genetic testing, pain management or some outpatient surgery.