Florida providers: New vision vendor for UnitedHealthcare Community Plan (Medicaid) beginning July 1, 2023

December 2022

We are pleased to announce we will be the new vision vendor for UnitedHealthcare Community Plan in Florida. The benefit plans in our network:

  • UnitedHealthcare Community Plan MMA
  • UnitedHealthcare Community Plan MMA and LTC

As a participating provider, you may start seeing these Medicaid members on July 1, 2023. Please check providers.eyesynergy.com for updates and additional details as they become available.

Benefit Information

Check out a complete summary for all benefit plans in Florida at marchvisioncare.com. Be sure to select “Florida” in the dropdown menu. Please remember to always verify member eligibility and benefits prior to rendering services. For eligible providers, you will also receive a Modern Optical frame kit shipped directly from the vendor.

Mandatory Medicaid Enrollment

The 21st Century Cures Act requires rendering and billing providers to be properly enrolled in Florida’s Medicaid program. To ensure claims are paid correctly, please submit claims with complete identifying information for both the rendering and billing provider that includes (but is not limited to):

  • Rendering NPI
  • Billing NPI
  • Taxonomy
  • Complete address

If the rendering and/or billing provider information on a claim does not match the information provided on the state’s enrollment file on the date of service, the claim may not be eligible for payment.

Supplemental Wage Agreement:

The Freedom First Budget was signed in June 2022 with the purpose of increasing the minimum wage for employees of Medicaid providers to at least $15 per hour. The Agency for Health Care Administration is now required to enter into a Supplemental Wage Agreement with each provider to ensure compliance with the minimum wage requirement for their employees.

Providers with an enrollment type of full, limited or ROPA are required to log into their Florida Medicaid Secure Web Portal account and sign the Supplemental Minimum Wage Agreement immediately. For more information, please visit the Florida Medicaid Web Portal. As a reminder, this is a state requirement and has no impact on your provider agreement with us.