Health Maintenance Organization Preferred Provider Organization Medicare Advantage HMO. Blue Medicare HMO My Time Plus Simply Blue Network
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1 The table below offers a comprehensive list of provider networks. Refer to your service type to determine if the network is open. If the network for your service type is open, complete the appropriate Provider Request to Participate Form. If the network is listed as closed, please check back with us periodically. Florida Blue is constantly evaluating our networks needs and the status is subject to change. Providers must register with us in order to submit a request to participate. If you are not a registered provider, complete the Provider Registration Form. Acronym HMO PPO MAPPO MAHMO BMP SBN Title Health Maintenance Organization Preferred Provider Organization Medicare Advantage PPO Medicare Advantage HMO Blue Medicare HMO My Time Plus Simply Blue Specialty Adult Medicine/Geriatrics Closed regions: Allergy Closed regions: HMO,. South closed for myblue, SimplyBlue and BlueSelect in Palm Beach, Broward and Miami-Dade counties. Central closed for MAPPO, MAHMO, BMP.. Ambulance and Transportation
2 Ambulatory Infusion Suites Closed managed by CareCentrix. Contact CareCentrix at Behavioral Analysts Associate Behavioral Analysts Closed managed by New Directions Behavioral Health. Contact New Directions at: or Behavioral Health Facilities Closed managed by New Directions Behavioral Health. Contact New Directions at: or Behavioral Health Practitioners Includes psychologists, psychiatrists, MFTs, LCSWs and MHCs Birthing Centers Closed managed by New Directions Behavioral Health. Contact New Directions at: or Cardiac Catheterization Labs Closed Closed regions: All Cardiology/Cardiovascular Disease Closed regions: South Florida closed for all products except West Coast closed for all products except PPO and Traditional. Cardiothoracic/Thoracic Surgery Closed regions: West Coast closed for all products. Chiropractic Physicians Closed Closed regions: All
3 Colon and Rectal Surgery Closed regions:. Convenient Care Centers Dermatology Closed regions: South Florida closed for HMO ( managed by Dermatology Solutions). Diagnostic Facilities Closed Requests will be accepted if: Part of a hospital Affiliated with HBP group The center offers mammography Adding a new location Dialysis Closed regions: Northeast closed for all lines of business in Duval County. South closed for all lines of business in Palm Beach, Broward and Miami-Dade counties. West Coast closed for all lines of business in Hillsborough county. Northwest closed for all lines of business in Escambia county. Durable Medical Equipment (DME) Medical Suppliers Closed managed by CareCentrix. Contact CareCentrix at
4 Endocrinology Closed regions: Central closed for MAPPO MAHMO, BMP, HMO,. Family Practice/ General Practice/ Internal Medicine Freestanding CyberKnife Centers Closed regions:. HMO, South closed for myblue, SimplyBlue and BlueSelect in Palm Beach, Broward and Miami-Dade counties. All regions closed statewide for Med Adv. HMO. Gastroenterology Closed regions: General Surgery Closed regions: Gynecology / Oncology Closed regions: Central closed for MAPPO MAHMO, BMP, West Coast closed for all products.
5 Hand Surgery Closed regions: Hearing Aid Dealers Closed regions: Hematology / Oncology Closed regions: South Florida closed for BlueSelect.. Central closed for MAPPO and MAHMO. Northeast and Northwest closed for MAPPO and MAHMO. South closed for MAPPO and MAHMO West Coast closed for MAPPO and MAHMO in Charlotte, Collier, Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas and Sarasota counties. HMO, Home Health Closed managed by CareCentrix. Contact CareCentrix at Home Infusion Closed managed by CareCentrix. Contact CareCentrix at Hospice Independent Clinical Labs Closed Closed regions: All
6 Infectious Disease Closed regions: Infertility Closed regions: Maternal/Fetal Medicine Closed regions: Nephrology Closed regions: Neurology Closed regions: Neurosurgery Closed regions:. Central closed for MAPPO, MAHMO and BMP. West Coast closed for MAHMO, BMP, SMN,...
7 OB/GYN Closed regions: Ophthalmology Closed regions: Optometry Closed Closed regions: South Florida closed for MAHMO and HMO Commercial. (these networks managed by Eye Management Inc.) * to PPO, Traditional, and NWB and MAPPO. All SBN,. Oral and Maxillofacial Surgery/ Pathology Closed regions: South Florida closed for BlueSelect. Central closed for MAPPO. Orthopedics / Orthopedic Surgery Closed regions: Orthotics and Prosthetics Closed Closed except for providers offering mastectomy supplies and ocularists. managed by CareCentrix. Contact CareCentrix at Otology, Laryngology, Rhinology (ENT) Closed regions: HMO, for the South Florida region for all products.
8 Pain Management Closed Closed regions: All Pediatrics Closed regions: Physical / Rehabilitative Medicine Closed regions: HMO, MyBlue and BlueSelect. South closed for myblue, SimplyBlue and BlueSelect in Palm Beach, Broward and Miami-Dade counties. West Coast closed for all products. Northwest closed for all products. Physical Therapy Occupational Therapy Speech Language Pathology/Speech Therapy Closed Closed regions: All Therapy Center (Speech, Occupational or Physical) also referred to Therapy in Private Practice and/or Physical Therapy Center
9 Outpatient Rehab Facilities Closed Requests will be evaluated if: Comprehensive Outpatient Rehab Facilities Center performs pediatric occupational therapy, pediatric speech language pathology, and/or pediatric physical therapy in support of ASD (Autism Spectrum Disorders). Provider is specialized and certified in hand therapy, lymphedema management, Achievement in Pelvic Physical Therapy, Certificate of Achievement in Pregnancy and Postpartum (CAPP) Physical Therapy. Occupational, adult speech language pathology. *Providers performing any of the above services must indicate training on letter and enclose certifications as applicable. Plastic Surgery Closed regions: Podiatry Closed regions: South Florida closed for BlueSelect. HMO, West Coast closed for HMO and MAHMO in Hernando, Pasco, Pinellas, Hillsborough, Manatee, Sarasota, Desoto, Charlotte and Collier counties. *(HMO & MAHMO network is managed by Affiliated Foot and Ankle providers). South Florida closed for HMO and MAHMO *( managed by Podiatry Solutions).
10 Pulmonology Closed regions: Radiation Oncology Closed regions: Reproductive Endocrinology Closed regions: Rheumatology Closed regions: South Florida closed for HMO and MAHMO. Central closed for MAPPO, MAHMO and BMP.
11 Skilled Nursing Facilities (SNF) Closed regions: Sleep Centers Closed regions: Northeast closed for all lines of business in Duval and Clay counties. Central closed for all lines of business in Orange county. West Coast closed for all lines of business in Hillsborough, Pasco, Hernando, Pinellas, Sarasota, Lee and Collier counties. South closed for all lines of business in Palm Beach, Broward and Miami-Dade counties. * Providers must be accredited through either AASM or JCAHO. Urgent Care Centers Closed regions: Urology Closed regions: Vascular Surgery Closed regions: Northeast closed for all lines of business in Duval county. Central closed for all lines of business in Orange, Osceola and Seminole counties. South Florida closed for HMO and MAHMO. West Coast closed for HMO, MAHMO, BMP, SBN, Central closed for HMO, MAPPO, MAHMO, BMP, in Orange, Osceola and Seminole counties.
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