Current News

New Health Plan Implementation
03/06/19

American Therapy Administrators of Florida/Health Network One (ATA-FL/HN1) will be the mandatory specialty network for physical therapy, speech therapy and occupational therapy services provided in a free-standing outpatient setting (i.e. POS 11), for Aetna Better Health® of Florida Medicaid enrolled members of all ages.

Aetna Better Health of Florida Healthy Kids Expansion
03/06/19

American Therapy Administrators of Florida/Health Network One (ATA-FL/HN1) will be the mandatory specialty network for physical therapy, speech therapy and occupational therapy services provided in a free-standing outpatient setting (i.e. POS 11), for Aetna Better Health® of Florida Healthy Kids enrolled members in the expansion counties listed below.

Human Trafficking Training
02/21/19

Attached please find our Human Trafficking Training PDF. This is an important issue for Florida, and creating awareness is key. We thank you in advance for helping us get this important information out there to you and your staff.

NON-PAR Provider Authorization Requests
01/31/19

Non-Participating providers SHALL NOT EVALUATE, re-evaluate or treat beneficiaries managed by ATA-FL UNTIL THEY ARE CREDENTIALED by ATA-FL .....

Healthcare Alert - COC and Auth Requests
01/25/19

As the Agency for Health Care Administration (the Agency) continues to transition Statewide Medicaid Managed Care (SMMC) enrollees as part of the SMMC Health and Dental Plan regional phased roll-out, providers are reminded of the SMMC Continuity of Care (COC) provision .....

Reminder to submit claims for all dates of services rendered
11/16/18

HN1/ATA-FL is required to submit Encounters to each Health Plan for each claim that is received by a contracted provider. Why are Encounters so Important? Without a record of your claims encounter, it is as if the beneficiary never received the service from you .....

Critical Elements Required for Authorization Requests
09/17/18

All treating providers must submit the following elements with each authorization request .....

2018 Q2 Newsletter
08/03/18

ATA-FL's latest edition of our Provider Newsletter is out. In this issue you will find the following articles: * New Medicare Line of Business Health Plan;* New Medicaid LOB Health Plans; * Humana Medicaid termination date has been lifted; * Annual Quality Improvement Documents; * Our New Enhanced UM Model; * The Four Critical Elements * Schedule Your Training.

New Medicaid LOB Health Plans — Better Health, Clear Health Alliance, and Simply Healthcare Plans
06/29/18

Effective July 1, 2018 American Therapy Administrators of Florida/Health Network One (ATA-FL/HN1) will be the mandatory specialty network for physical therapy, speech therapy and occupational therapy services provided in a free-standing facility or office setting (i.e. POS 11), for Better Health, Clear Health, or Simply Healthcare Medicaid enrolled members.

Simply Healthcare - New Medicare LOB Health Plan
06/29/18

Effective July 1, 2018 American Therapy Administrators of Florida / Health Network One (ATA-FL/HN1) will be the mandatory specialty network for physical therapy, speech therapy and occupational therapy services provided in a free-standing Facility or setting (i.e. POS 11), for Simply Healthcare Plan’s Medicare enrolled members.

UPDATE on our New Enhanced UM Model
04/12/18

The Enhanced Utilization Management Model effective date has been changed to 6/1/2018. Our enhanced Utilization Management Model will reduce the administration burden for our provider network from multiple submissions of similar documentation to one submission per episode care.

Humana termination has been lifted
02/09/18

Effective immediately, providers participating in the ATA-FL network in regions 6, 9, 10, and 11 may continue rendering services to Humana Medicaid beneficiaries. All authorization requests and claims payments will continue to be processed by ATA-FL ....

Provider Web Portal Updates
05/30/17

We are pleased to announce the upcoming release of a new version of the Provider Web Portal (PWP). Available June 1, 2017, the new version will have a new look and new functionality that will allow you to be more effective, selfsufficient and paperless....

Q4 Newsletter
02/13/17

Our current newsletter is out and contains information about our network, reminders and other topics. Our newsletter is usually published once a quarter ...

On 12/31/16 4-code set (97001-97004) will terminate
12/21/2016

Effective 12/31/2016 the 4-code set (97001-97004) for Physical Therapy (PT) and Occupational Therapy (OT) evaluative procedures will terminate ...

Address Updates: Wonderbox PWP URL & PO BOX for Paper Claims
11/9/2016

Effective November 7, 2016 the Provider Web Portal will have a new web address https://ata.therapyadmin.com/pwp. This will be the URL for you to use to access remittance statements, submit claims, view status of any claims and Patient Responsibility letters dated November 7, 2016 or later. ...

Wonderbox Provider Web Portal New Web Address
11/4/2016

This information is intended only for Coventry/Aetna Commercial & Coventry Medicare — The Wonderbox Provider Web Portal, which administers Coventry/Aetna Commercial & Coventry Medicare will have a new web address https://ata.therapyadmin.com/pwp. This will be the URL ...

Claim and Encounter Data Submission
08/15/2016

HN1/ATA-FL is required to submit Encounters to each Health Plans for each claim that is received by a contracted provider. Why are Encounters so Important?

Revised Documentation Requirements
08/10/2016

Important Changes That Will Impact Your Authorization Requests. UM Department will begin reviewing claim Encounter submissions prior to issuing a Step 2, Step 3, or an Upgrade and Documentation Requirements for Therapy Services - Plan of Care, Daily Visit Note & Therapy Service Discharge.

2016 Q2 Newsletter
06/29/2016

Our current newsletter is out and contains information about our network, reminders and other topics. Our newsletter is usually published once a quarter ....

Encounter Submissions  &  Documentation Requirements
06/22/2016

Important Changes That Will Impact Your Authorization Requests. UM Department will begin reviewing claim Encounter submissions prior to issuing a Step 2, Step 3, or an Upgrade and Documentation Requirements for Therapy Services - Plan of Care, Daily Visit Note & Therapy Service Discharge.

2016 Q1 Newsletter
04/11/2016

Our current newsletter is out and contains information about our network, reminders and other topics. Our newsletter is usually published once a quarter ....

Winter Edition 2016 Newsletter
02/05/2016

Our current newsletter is out and contains information about our network, reminders and other topics. Our newsletter is usually published once a quarter ....

MMA Express Enrollment NOW Effective
02/03/2016

The State received approval of an amendment to Florida’s 1115 MMA Managed Medical Assistance waiver to allow for Express Enrollment beginning ....

Intake form and Pre-Service Determination Letters
01/07/2016

Effective Immediately the Intake Form must be completed in its entirety in order to be accepted for Authorization approval. Intake forms that are not entirely filled out will be returned back to ....

Migrating to 2 Separate Platforms
11/19/2015

Effective 12/01/2015, claims and referral administration for Sunshine Health Plan’s MMA and Child Welfare (CW) products and Coventry/Aetna health Plan’s Commercial/Medicare and Medicaid/Healthy Kids (HK) .....

Cover Home & School
07/27/2015

Effective August 1st, 2015, for members enrolled in Sunshine Health Plan, American Therapy Administrators of Florida (ATA-FL/HN1) will cover therapy services in the home (POS 12) and school (POS 03) .....

New Intake Form
07/09/2015

Enclosed for your review and immediate use is the NEW ATA-FL Patient Intake Form. Please replace the current form that you are using with this NEW form effective immediately. The form is updated to provide .....

Sunshine Notice
03/31/2015

Effective April 1, 2015 American Therapy Administrators of Florida/Health Network One (ATA-FL/HN1) will be the mandatory specialty network for physical therapy, speech therapy and occupational therapy services provide .....