Insight Credentialing

💡 THOUGHT FOR THE DAY 💡

As part of your onboarding process, be sure to ask providers for the expiration date of their 5-year renewal and enter it into your HR system as an expiring credential.

Many providers miss the renewal notification and do not complete their renewal through the FLMMIS Portal, which can lead to unnecessary delays and interruptions in services.

Also remind providers to keep their information current by updating their:
✅ Service Address
✅ Mailing Address

This is especially important when transitioning between companies or practice locations.

Keeping provider information accurate and up to date helps ensure compliance, prevents credentialing issues, and supports uninterrupted services.

🚨 Important AHCA / CMS Plan Update 🚨

The Agency for Health Care Administration (AHCA) has announced that the CMS Plan will transition from Sunshine State Health Plan to Molina Healthcare of Florida, effective October 1, 2026.

📌 What this means:

✔️ Current members will be automatically transferred to Molina
✔️ No immediate action is required at this time
✔️ Members will still have the option to choose another plan

⏳ Continuity of Care (COC):

• Coverage continuity may last up to 8 months
• Patients can continue seeing their current providers until May 31, 2027
OR until their care plan is finalized and services are authorized — whichever comes first

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💡 Why this matters for providers:
This transition can impact authorizations, credentialing, and billing processes. Staying informed and prepared will help avoid disruptions in care and reimbursement.

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🤝 At Insight Credentialing, we’re here to help you navigate these changes smoothly.

📩 Contact us if you need assistance with contracting, credentialing, or authorizations.

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Happy Admin Day!
We appreciate the love 💚💚

Owner Martika went to Comfort Cottage Adult Family Home Care to do Arts and Craft with the patients!