Resources
Claims Related Forms
General Provider Forms
- Prior Authorization Form (PDF)
- Quick Reference Guide (PDF)
- Pediatric Anticipatory Guidance (PDF)
- Notification of Pregnancy Form (PDF)
- Connections Referral (PDF)
- Prenatal Vitamin Form (PDF)
- Prior Authorization List 2012 [PDF]
- Treating-Tobacco-Use-and-Dependence (PDF)
Agency responsible for Florida’s Medicaid program.
The Agency for Health Care Administration
Helpful Links
The Florida Department of Children and Families
Public Assistance
MyFlorida.Com
Official Portal of The State of Florida
Agency for Health Care Administration
Medicaid Area Child Health Check-Up Coordinators
Social Security Adminstration
The Official Site of Social Security

