PROVIDER REFERRAL GUIDE – VOLUSIA/FLAGLER COUNTIES

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PROVIDER REFERRAL GUIDE – VOLUSIA/FLAGLER COUNTIESTHE FHCP PROVIDER REFERRAL GUIDES CAN BE FOUND ATHTTPS://WWW.FHCP.COM/PROVIDERS/AND THE FHCP PROVIDER PORTALThese links make the Referral Guidelines easily accessible, and they are updated monthly.The guides are interactive, so there’s no need to scroll!NOTE: We do not recommend printing this extensive guide, as it’s updated monthly. If you note any errors in theguide, please contact FHCP Provider Services at 386-317-8809 so that we may make corrections.HELPFUL TIPS FOR REFERRAL GUIDE NAVIGATION: Ctrl F – Brings up the “Find” function box. Type the specialty in the box, and exact matches will appearto the left of your screen on the Navigation panel. Select your choice, and you’ll be directed to thespecialty under the Table of Contents. Click on the specialty to go directly to the list of specialists. Alternatively, you may select the specialty of choice in the Table of Contents. Click on the specialty to godirectly to the list of specialists. Ctrl Home will return you to the top of this document.1VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

PROVIDER REFERRAL GUIDE – VOLUSIA/FLAGLER COUNTIESFHCP Central Referral DepartmentCentral Referral Department Manager – Sue Schack, LPNCentral Referral Department Clinical Supervisor – Jane Vesta, LPNProvider Relations Manager – Roberta HemphillFlagler & Volusia Counties Provider Relations Coordinator – Rhonda WhiteFHCP Case Management – Utilization Review DepartmentFHCP Case Management – Coordination of Care DepartmentProvider Benefits and Eligibility QuestionsPh: 386-238-3230 or Toll Free: 800-352-9824, Ext 3230Fax: 386-238-3253 or 855-442-8398Ph: 386-676-7100 or Toll Free: 800-352-9824, Ext 3230Ph: 386-676-7100 or Toll Free: 800-352-9824, Ext 3230Ph: 800-352-9824, Ext 7423 or 386-616-5018Ph: 800-352-9824, Ext 7662 or 386-317-8809Ph: 386-676-7187 or Toll Free: 866-676-7187Ph: 386-238-3284 or Toll Free: 855-205-7293Ph: 386-615-4024 or Toll Free: 844-615-4024BLACK BOX Indicates prior authorization is required through the FHCP Central Referrals Department.For URGENT REQUESTS (i.e., life-threatening, or serious jeopardy to health) requiring prior authorization,the requesting provider must call FHCP Central Referrals at 386-238-3230.Services that require prior authorization must have documentation of medical necessity. If documentation is unavailable, yourrequest may be denied. Please refer to this Provider Referral Guide for assistance in referring our patients for services. Notethat there are guideline variations for Halifax Employee Care Network (HECN).HALIFAX EMPLOYEE CARE NETWORK (HECN), DAYTONA STATE COLLEGE, BETHUNE-COOKMAN UNIVERSITY, AND VOLUSIACOUNTY SCHOOL BOARD MEMBERS CAN SEE ALL LISTED HMO PROVIDERS, AS WELL AS ADDITIONAL PROVIDERS, ASSPECIFIED, WHO HAVE BEEN INDICATED IN GREEN WITHIN THIS DOCUMENT.2VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

TABLE OF CONTENTSACUPUNCTURE. 11ACUTE LOW BACK & NECK PROGRAM (1 of 3 pages) . 12ALLERGY. 15AMBULATORY SURGICAL CENTERS (ASC) . 16APPLIED BEHAVIORAL ANALYSIS (ABA THERAPY) . 16ARTERIAL BLOOD GASES (ABG) . 17AUTISM SPECTRUM DISORDER (ASD). 18BARIATRIC SURGERY PROGRAM . 19BEHAVIORAL HEALTH (1 of 16 pages) . 20BEHAVIORAL HEALTH – CHILD & ADOLESCENT . 34BEHAVIORAL HEALTH – INPATIENT SERVICES – (16 of 16 pages) . 35BIRTH CENTERS . 36BONE DENSITY STUDIES . 37BONE GROWTH STIMULATORS . 38BONE SCANS (1 of 2 pages) . 39BRACES, ORTHOTICS, AND PROSTHETICS (1 of 2 pages) . 41CARDIAC CATHETERIZATION . 43CARDIAC MONITORING . 44CARDIAC REHABILITATION. 45CARDIOLOGY (1 of 5 pages) . 46CARDIOLOGY – NUCLEAR (1 of 3 pages) . 51CARDIOLOGY – PEDIATRIC . 543VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

CASE MANAGEMENT – COORDINATION OF CARE (1 of 3 pages) . 55CHIROPRACTIC – (1 of 8 pages) . 58COCHLEAR IMPLANT SERVICES . 66COLOGUARD TESTING . 66COLONOSCOPY – SCREENING . 67COLONOSCOPY – DIAGNOSTIC – (1 of 2 pages) . 68CONTRACEPTION. 69CT SCANS (1 of 4 pages) . 70DENTAL SERVICES (1 of 3 pages) . 74DENTAL SERVICES – TMJ SERVICES (3 of 3 pages) . 76DERMATOLOGY – (1 of 2 pages). 77DIABETIC SHOES (1 of 3 pages) . 79DIABETES EDUCATION . 82DIAGNOSTIC TESTING – (1 of 4 pages) . 83DIALYSIS SERVICES (1 of 2 pages) . 87DISEASE MANAGEMENT PROGRAMS (1 of 3 pages) . 89DURABLE MEDICAL EQUIPMENT (1 of 3 pages) . 92DURABLE MEDICAL EQUIPMENT – SPECIAL (2 of 3 pages) . 93EAR, NOSE, AND THROAT (ENT) – (1 of 2 pages) . 95ECHOCARDIOGRAMS (1 of 2 pages) . 97ELECTROENCEPHALOGRAM (EEG TESTING) . 99EEG TESTING – VIDEO – (1 of 2 pages) . 100EEG TESTING – MOBILE SERVICES . 102ELECTROCARDIOGRAM (EKG) . 103EMERGENCY FACILITIES . 1044VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

ELECTROMYOGRAPHY (EMG) – (1 of 2 pages) . 105ENDOCRINOLOGY (1 of 2 pages) . 107EVENT MONITOR. 109EXTENDED HOURS CARE CENTERS (EHCC) – (1 of 2) . 110FLIGHT PHYSICALS – Federal Aviation Administration (FAA) Physicals . 112GASTROENTEROLOGY – (1 of 3 pages) . 113GENETIC TESTING/COUNSELING . 116GLUCOMETERS . 117GYNECOLOGY & WELL WOMAN’S ASSESSMENTS – (1 of 4 pages) . 118GYNECOLOGIC ONCOLOGY . 121HAND THERAPY SERVICES. 122HEARING & AUDIOLOGY SERVICES. 123HEMATOLOGY . 124HEPATITIS C SERVICES . 125HEPATOBILIARY SERVICES . 125HIV (HUMAN IMMUNODEFICIENCY VIRUS) . 126HOLTER MONITOR. 127HOME HEALTH CARE . 127HOME INFUSION PHARMACIES . 128HOSPICE . 129HOSPITAL ADMISSIONS . 130INPATIENT (ACUTE) REHABILITATION FACILITIES . 131LONG-TERM ACUTE CARE HOSPITAL ADMISSIONS . 131HOSPITALIST (1 of 2 pages) . 132HYPERBARIC OXYGEN THERAPY . 1335VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

INFECTIOUS DISEASES – (Page 1 of 2) . 134INFECTIOUS DISEASES – PEDIATRICS . 136INFUSION CLINICS . 137INFUSION SERVICES – INFUSION PUMPS FOR CHEMOTHERAPY . 137INJECTION CLINIC . 138INSULIN PUMPS (1 of 2 pages) . 139INTERPRETER SERVICES (1 of 2 pages) . 141LABORATORY SERVICES – ROUTINE AND STAT (1 of 4 pages) . 143LABORATORY SERVICES – IN-HOME . 147LACTATION SERVICES & BREASTFEEDING CLASSES . 148LITHOLINK SERVICE . 149LOOP RECORDERS . 150LYMPHEDEMA CLINICS . 151MAMMOGRAPHY - DIAGNOSTIC OR SCREENING – (1 of 2 pages) . 152MEDICATIONS . 154MOBILE IMAGING SERVICES . 155MAGNETIC RESONANCE IMAGING (MRI) – (1 of 3 pages) . 156NEPHROLOGY (1 of 2 pages) . 159NEUROLOGY (1 of 2 pages) . 161NUTRITIONAL SERVICES. 163OBSTETRICS (1 of 2 pages) . 164OCULAR PROSTHETICS LAB . 166ONCOLOGY – MEDICAL/HEMATOLOGY – (1 of 3 pages) . 167ONCOLOGY – MEDICAL/HEMATOLOGY THERAPY – NON-MEDICARE MEMBERS. 169ONCOLOGY – MEDICAL/HEMATOLOGY THERAPY – MEDICARE MEMBERS . 1696VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

ONCOLOGY – RADIATION – (1 of 2 pages) . 170ONCOLOGY – RADIATION THERAPY . 171OPHTHALMOLOGY – (1 of 3 pages) . 172OPHTHALMOLOGY – CORNEAL SERVICES ONLY. 175OPHTHALMOLOGY – RETINAL SERVICES ONLY . 176OPHTHALMOLOGY – OTHER . 177OPTOMETRY – (1 of 2 pages) . 178OPTOMETRY – LOW VISION . 180ORAL SLEEP APNEA APPLIANCES . 181ORTHOPEDICS & SPORTS MEDICINE – NON-SURGICAL TREATMENT . 182OUTPATIENT REHABILITATION with Sub-specialties – (1 of 13 pages) . 183AQUATIC THERAPY . 183BALANCE & VESTIBULAR THERAPY . 184HAND THERAPY SERVICES . 187INCONTINENCE THERAPY . 187OCCUPATIONAL THERAPY . 188OSTEOPOROSIS / OSTEOPENIA PROGRAMS . 189PEDIATRIC THERAPY & OCCUPATIONAL PEDIATRIC THERAPY. 190PHYSICAL THERAPY . 191SPEECH THERAPY . 193VIDEOSTROBOSCOPY AND VOICE THERAPY EVALUATION . 195PAIN MANAGEMENT (1 of 2 pages). 196PALLIATIVE CARE . 198PATHOLOGY – OUTPATIENT/AMBULATORY . 199PEDIATRICS . 2007VOLUSIA & FLAGLER COUNTIES – FEBRUARY 2022

PEDIATRIC SUB-SPECIALTIES . 200PEDIATRIC SUB-SPECIALITIES - BEHAVIORAL HEALTH – See BEHAVIORAL HEALTH – CHILD & ADOLESCENT . 200PEDIATRIC SUB-SPECIALTIES – GASTROENTEROLOGY . 200PEG TUBE FEEDING ASSESSMENT. 201PELVIC HEALTH PROGRAMS . 202PERINATOLOGY . 203PERIPHERAL VASCULAR INTERVENTION . 204PET SCANS - (1 of 2 pages) . 205PHARMACY . 206PHYSICAL MEDICINE AND REHABILITATION SERVICES – (1 of 2 pages) . 207PHYSICAL MEDICINE AND REHABILITATION SERVICES . 208PODIATRY (1 of 2 pages) . 209PRIMARY CARE . 211PROVIDERS AND FACILITIES NOT LISTED IN THIS FHCP DIRECTORY . 211PROVIDER PORTAL .

2 VOLUSIA & FLAGLER COUNTIES – OCTOBER 2021 . PROVIDER REFERRAL GUIDE – VOLUSIA/FLAGLER COUNTIES . FHCP Central Referral Department Ph: 386-238-3230 or Toll Free: 800-352-9824, Ext 3230

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