Providers for Florida Healthy Kids -
Provider Operations

Community Care Plan (CCP), the health plan with a heart, is an entity owned and operated by South Florida’s most experienced names in healthcare: Broward Health / North Broward Hospital District and Memorial Healthcare System / South Broward Hospital District in Broward County. CCP was introduced in 2000 as South Florida Community Care Network, the first safety-net, hospital-owned Provider Service Network (PSN) in Florida.

Effective January 1, 2020, CCP is a health plan option for Florida Healthy Kids, a KidCare program, in:

  • Broward
  • Indian River
  • Martin
  • Miami-Dade
  • Monroe
  • Okeechobee
  • Palm Beach
  • St. Lucie

Together, we will work with providers as a team, bringing our individual expertise to achieve the high standards our community expects.

Our Provider Operations Department works closely with its providers to ensure that Florida Health Kids’ members receive quality health care and services. CCP is available to assist providers and their offices with procedures required by CCP, which include but are not limited to:

  • New Provider Orientation
  • Assistance with Reporting Requirements
  • Educational Overviews on Compliance Issues
  • On-Site Support at the Provider’s office
  • Assistance with Practice Changes and Updates
  • Verifying Eligibility, Reviewing Claims Status, and Requesting Pre-authorizations
  • Questions regarding Procedures, Policies, Reimbursement, and other Program Information

Our Provider Operations Representatives conduct routine visits of CCP provider sites. During these visits, our Provider Operations Representative assesses the practice’s total compliance with various regulatory and program standards, including:

  • Access to Care
  • Physical Accessibility to the Practice Environment
  • Medical Record Keeping Practices
  • Patient Confidentiality Procedures
  • Physical Appearance and Adequacy of the Facility
  • Appropriate Staffing (Medical and Administrative)
  • OHSA Compliance
  • Grievance Procedures
  • Peer Review Procedures

CCP Provider Operations Representatives are available to assist you with any of the services outlined above from 8:00 am to 7:00 pm, Monday through Friday.

For assistance, please contact:

CCP Provider Operations Hotline 1-855-819-9506