If the issue involves a Medicare Dual Eligible Special Needs Plan (D-SNP), you should use the DSNPs provider complaint process prior to submitting a complaint to the Agency. All D-SNPs have a provider complaint system to allow providers to dispute plan policies, procedures, or any aspect of a plan’s administrative functions, including proposed actions, claims/billing disputes, and service authorizations. D-SNP contact information is available online at
D-SNP Contacts for Providers
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If you are unsuccessful in addressing your issue with the D-SNP, you can submit a complaint to the Agency using one of the options below.
- To submit a complaint online you may use the Florida Medicaid Complaint Form. Please refer to the NEW
Provider Complaint Tip Sheet
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for helpful hints on submitting your complaint.
- To submit a complaint by phone, please call the Medicaid Helpline at 1-877-254-1055 (TDD 1-866-467-4970). Staff are available to assist you Monday through Friday, 8am-5pm EST.
When submitting your complaint online, you also have the option of attaching any related documents. Please remember that submitting attachments containing patient information about non-Medicaid members is a HIPAA violation. Additionally, attachments that include enrollee information for multiple D-SNPs on the same document cannot be accepted.
Providers now have the ability to save a Complaint Profile, which can be used when submitting a complaint online. This will reduce the data entry required for any future complaint submissions made from the same device and browser. Instructions for this are in the
Complaint Profile User Guide
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