Community Care Plan

Health Provider Website:
Accepted Health Plans: Medicaid Healthy Kids

Does the diagnostic service require prior authorization?

CT Scans: YES
X-rays: NO
Polysonograms: NO
Ultrasounds: NO
Physical Therapy: YES*
Occupational Therapy: YES*
Audio Evaluation: NO
Audio Evaluation: NO
Speech Evaluation: YES*
Feeding and Swallowing Evaluation: YES*

**Please note CCP does require pre-certification for rehabilitate evaluations through HN1 for patients under the age of 21. Unfortunately, at this time Nicklaus Children's Hospital does not have a contract with HN1. Please verify with your health plan for an in network provider.

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.

This page was last updated on : 9/21/2021 4:54:13 PM.