Hurricane Ian Update

Important Information about Hurricane Ian

For services rendered from September 29, 2022, through October 31, 2022.

Coverage and Authorization Provisions

Vivida Health will furnish all Medicaid services during the disaster grace period to an enrollee whose permanent address is in the FEMA designated disaster area:

  • Without any form of authorization; Exception: all prior authorizations for pharmacy services remain intact.
  • Without regard to service limitations (specifically related to frequency, duration, and scope) that were exceeded in order to maintain the health and safety of enrollees for dates of service during the disaster grace period, stated in the Florida Medicaid Coverage Policies; and
  • Whether or not the enrollee has temporarily relocated to a different region or state.

Network Provisions

Vivida Health will allow enrollees to see non-participating providers if enrollees have a permanent address in a FEMA declared disaster area and are unable to access covered services from participating providers.

Claims and Provider Payment Provisions

  • Medically necessary service furnished to impacted enrollees during and after the disaster period that normally would have required prior authorization, that were rendered by a non-participating provider, or that exceeded coverage limits for the service.
  • Vivida Health claims submission requirements will remain the same
  • Please refer to the following https://www.vividahealth.com/claims-and-billing-2021/ for claims submission instructions

Members

Medication Refills: Gov. Ron DeSantis declared a state of emergency for Alachua, Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, DeSoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Indian River, Jackson, Jefferson, Lafayette, Lake, Lee, Leon, Levy, Liberty, Madison, Manatee, Marion, Martin, Miami-Dade, Monroe, Nassau, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington counties.

You may refill your prescriptions early in those counties. Contact your pharmacy for information.

Member Services: As of September 30, 2022, Vivida Health is open as usual from 8 a.m. to 8 p.m. Monday-Friday.

Call or text SAMHSA’s Disaster Distress Helpline if you are experiencing emotional distress related to the storm: 1-800-985-5990. Help is available 24/7 in multiple languages.

Call Beacon at 1-888-710-2316 for mental health support and details on other resources.

Note: We will update this website as new information is available.
Please take steps to be safe. Call 911 if you have a medical emergency during the storm. Call 211 to reach the United Way if you need any assistance.