Overview

In the Florida, only those Department of Juvenile Justice (DJJ) residential commitment programs that are low- or moderate-risk levels and operated by private providers are considered Medicaid-allowable programs.  In order for a residential program to provide Behavioral Health Overlay Services (BHOS) that are reimbursed by Medicaid, that program must first be "deemed essential" by DJJ as a BHOS for a specified number of beds.  That provider must then begin the Medicaid and BHOS certification processes with Florida's Agency for Health Care Administration (AHCA).  Each residential program has a description page on this web site that includes whether or not that program provides BHOS services.

Conference Calls

Quarterly, DJJ hosts a statewide conference call for residential program Medicaid liaisons with liaisons from the Department of Children & Families (DCF) and AHCA.  The schedule is as follows and all calls begin at 10 a.m. (Eastern):

• Wed., Aug. 8, 2012;
• Wed., Nov. 14, 2012; 
• Wed., Feb. 13, 2013; and
• Wed., May 8, 2013.

Contacts & Lists

Not all Medicaid-allowable programs are "deemed essential" BHOS providers.

• FDJJ Medicaid-Allowable Residential Programs 
• AHCA Behavioral Health Liaisons for area office liaisons who work with DJJ programs.
• AHCA Area Medicaid Offices for the general public.
• Florida Medicaid Managed Care & Pre-paid Dental Programs.
• DCF Child In Care Medicaid Contacts for area office liaisons who work with DJJ programs.
• DCF ACCESS Florida Food, Medical Assistance and Cash for the general public and youth going home from DJJ.
• HP Enterprise Services Field Representatives Area Map.

For providers or agencies that need general information about DJJ-Child In Care Medicaid, BHOS or Medicaid-allowable programs, please contact:

Need To Know

The following is provided to assist DJJ residential commitment programs with questions about Medicaid, BHOS, enrollment and current information that affects juvenile justice-involved youths.

How to ...

• Learn More about Medicaid
• Start the Process of Becoming a Medicaid Provider
• Become a Type 05 Medicaid Provider
• Become a BHOS Provider
• Use JJIS to Process a Youth's Medicaid Paperwork
• Guide to Processing DJJ Medicaid for a Youth
• Send this Form to AHCA for Each Medicaid Youth Entering or Leaving Your Program (manual processing only)
• Instructions for the AHCA Form (for the form above)
• Help a Youth Who Has SSI Benefits
• Help a Parent Contact the Social Security Administration at 1-800-772-1213 or online
• Understand New Citizenship and Identity Requirements (DCF Policy) and Who Must Establish Citizenship

Manually Process Medicaid

If JJIS is down or your e-mail program is not working and you are unable to process Medicaid forms electronically, please click on the following forms, print them, complete them, and fax them to the appropriate offices.

• DCF Child In Care Medicaid Application
• DCF Child In Care Eligibility Review & Change Report Form
• AHCA Managed Care Exemption & Enrollment Form (complete this form for each youth entering or leaving your program)

Other

The following resources and links are provided to help thea DJJ Medicaid liaison.

Links

• Florida Medicaid Web Portal (FLMMIS)
• Florida Medicaid Portal for Providers 
• Providers • Online Prior Authorization • Tutorials and Guidelines
• Florida Medicaid Program Information for Providers
• Florida Medicaid Program Information for Families
• Florida Medicaid General Provider Handbook
• Current Florida Medicaid Community Behavioral Health Services Handbook
• *Draft* Community Behavioral Health Services Handbook  (ZIP file)

Tools for On-Site BHOS Reviews

• AHCA's DJJ-BHOS Annual Review Tool
• BHOS Provider Findings Tool
• BHOS Provider Claims Tool
• BHOS Recipient Tool