Insurance List | Nicklaus Children's Hospital

Authorization Policies for Miami Children's Health Plan LLC

Health Provider Website: https://www.miamichildrenshealthplan.com/
Accepted Health Plans: Medicaid

Does the diagnostic service require prior authorization?

MRI: YES

CT Scans: YES

PET: YES

X-rays: NO

Polysonograms: NO

Ultrasounds: NO

Physical Therapy: NO

Occupational Therapy: NO

Audio Evaluation: NO

Speech Evaluation: NO

Feeding and Swallowing Evaluation: NO

Lab Information

Preferred Independent Lab: Quest Diagnostics
Laboratory testing cannot be administered without the required forms. Please bring the Quest Diagnostics form (provided by your doctor) to your appointment. Lab Hours of Operation are from 7 a.m. to 3 p.m. Monday through Friday and 7 a.m to 11 a.m. on Saturdays. Labs are closed Sundays. For additional information please call 305-666-6511 ext 1964.

Contact Us

The Authorization Unit can can contacted at 786-624-3022 as well as Managed Care at 305-669-5834 for further clarification.

Please note that some non-employed physicians and credentialed medical staff members of Nicklaus Children's Hospital may not accept all of the health plans listed above. Also note that participation in these plans is not a guarantee of payment or coverage.