Who can become a provider?
Physicians, ARNPs, PAs, clinics, community and specialty hospitals, behavioral health centers, surgical centers, hospice, governmental entities, and many others. Unfortunately, if a provider is already in a Volunteer Health Care Provider Program (VHCPP), they cannot participate.
How do I become a provider?
Please contact the Health Services Section at 941-749-3505 or [email protected].
What are the requirements to become a provider?
- Enroll in the HIE ($50 a month per provider)
- Enroll clients in HIE as needed and ensure their data is entered into the system regularly
- Participate in meetings to help identify gaps in healthcare and provide information on best practices as needed
- Submit additional documents as needed
- Participate in pilot programs as needed
How do I get paid?
Participating Providers can start submitting invoices upon signing an acknowledgment form. All invoices shall be submitted on form CMS-1500, within 90 days of service, and will be paid at the Medicare rate for CPT codes.
How do I verify if a client is on the Manatee County Health Care Plan?
Participating Providers can determine client eligibility for the program using the Health Information Exchange (HIE) and keep track of services performed on the client across the county.
What are the benefits of being a Participating Provider?
Not only will you be providing much needed services to the community, you will also have access to the HIE, be paid at the Medicare rate for CPT codes used per client, and earn points for MIPS.
Please review our Handbook for more information.
Download our Provider Brochure