A Prepaid Mental Health Plan

Frequently Asked Questions

Click on the question to reveal the answer.


How do I know if I am enrolled with Florida Health Partners, Inc. (FHP)?
If you live in Pinellas, Pasco, Hardee, Highlands, Hillsborough, Manatee, Polk, Orange, Osceola, Seminole or Brevard counties and are enrolled in MediPass for your medical/physical health benefits, you will receive your mental health benefits through FHP.
How do I get Care?
There are three ways you can get mental health care:
  1. Call or visit a network provider
  2. Call the FHP Information Line for Area 5: 1-888-563-9022, Area 6: 1-800-808-8033, or Area 7: 1-866-717-3816: 24 hours a day, 7 days a week.
  3. If you call your MediPass Primary Care Physician, he or she will help you get in touch with FHP to arrange for care.
What do I do in an emergency?
If your need is an emergency, and you feel like hurting yourself or others, or when you feel unable to take care of yourself, you should:
  1. Go to the nearest network provider; or
  2. Go to the nearest hospital emergency room; or
  3. Call the FHP Information Line for Area 5: 1-888-563-9022, Area 6: 1-800-808-8033, or Area 7: 1-866-717-3816: 24 hours a day, 7 days a week.
What information should I have ready when I call?
You will be asked for some basic information, such as your name, address, zip code, county, phone number, Medicaid number, and any other health insurance information.
Will I receive a list of providers?
Your new member handbook contains a list of network provider locations with addresses, telephone numbers and office hours.
Will my medical doctor know about my mental health care?
Your MediPass Primary Care Physician will be notified of your treatment when you have signed a release of information. We encourage you to communicate and allow your family care doctor to participate in your care.
Will getting mental health services cost me money?
No. It will not cost you any money to receive covered Medicaid mental health services.
Will my call and care be kept confidential?
Yes, all of your records will be kept in strict confidence. We will not release any confidential information without your written permission except when required by law. We will need a signed release from you before we can discuss your treatment with anyone other than your mental health provider.
What should I do if I am not happy with the mental health services I receive from FHP?
If you are unhappy with your provider or some other service offered by FHP, please call the FHP Information line for Area 5: 1-888-563-9022, Area 6: 1-800-808-8033, or Area 7: 1-866-717-3816.
Who are the providers in the Florida Health Partners, Inc. (FHP) network?
Please select the appropriate area listed below to view the network for that area:

Area 5: Pinellas and Pasco Counties

Area 6: Hardee, Highlands, Hillsborough, Manatee and Polk Counties

Area 7: Orange, Osceola, Seminole and Brevard Counties

Who do I contact to join the FHP Network?
Send a written request to the Provider Services Department at the FHP Service Center, 3014 N. U. S. Highway 301, Suite 1000, Tampa, FL 33619. Please indicate your interest in becoming a network provider along with your specialty and age groups treated (child, adolescent, adult, geriatric).
If I currently treat a Medicaid client in the FHP program, may I continue to be their provider?
No. If you are currently seeing Medicaid members who will be enrolled with FHP for behavioral health care services, the member will be transitioned to a network provider in accordance with the transition schedule.
What is the definition of emergency?
Those services required to meet the needs of an individual who is experiencing an acute crisis, resulting from a mental illness, which is at a level of severity that would meet the requirements for involuntary hospitalization pursuant to section 394.467, Florida Statutes, and who, in the absence of a suitable alternative, would require hospitalization.
Do I need a preauthorization to provide emergency services?
No. However, you must notify the FHP Service Center within the following guidelines:
In-area, contracted facilities:

These facilities are required to notify the Service Center within 4 hours of a person presenting for emergency mental health services. FHP is then required to respond within 4 hours of the notification as to whether or not it will authorize or deny admission. If FHP fails to respond within 4 hours, the facility can provide medically necessary services at its discretion and bill FHP for those services according to the FHP established fee schedule.

In-area, non-contracted facilities:

These facilities are required to notify the Service Center within 4 hours of a person presenting for emergency mental health services. FHP is then required to respond within 4 hours of the notification as to whether it will authorize admission or provide transportation to an in-network provider. If FHP fails to respond within 4 hours, the receiving facility can provide medically necessary services at its discretion and bill FHP for those services.

FHP is obligated to pay only for emergency services by non-network providers and those services will be paid according to Florida State Stautes. Any other services must be preauthorized.

Out-of-area facilities (outside of the Medicaid Area (5, 6, and 7)):

These facilities are required to notify the Service Center within 24 hours of a person presenting for emergency mental health services. FHP is obligated to pay for only emergency services provided by out-of-area facilities and those services will be paid according to Florida State Statutes. Any other services must be preauthorized.

Where do I submit claims?

Send your claims to:

Florida Health Partners, Inc.
Department FL - Claims processing
P.O. Box 12699
Norfolk, VA 23541-0699

For specific claims filing procedures, please see our FHP Authorization and Billing Guide.

When will I receive payment for my services?
FHP will process your claim within 35 days from the day of receipt of the claim form, with all required information (UB92 or CMS 1500)