Provider Renewal QRG
Quick Reference Guide
NOTE: This information will be updated with the implementation of the new provider enrollment system, which is scheduled for April 2026. To stay informed about the transition effort, sign up for Florida Medicaid Health Care Alerts.
The Agency for Health Care Administration must revalidate the enrollment of all providers regardless of provider type at least every five years per 42 CFR 455.414.
Renewal notices are mailed to providers approximately 90 days before the expiration date of their current provider agreement. Providers with multiple base IDs will receive a separate renewal notice for each base ID approximately 90 days before the expiration of the associated agreement.
The renewal notice states the expiration date of the current agreement, which is the deadline for completing the renewal. If the application is not completed before the expiration date for the provider agreement, claims will suspend until the renewal is accomplished.
Providers can access the renewal application online in the Secure Web Portal under the Quick Links dialog box. The Quick Links to the renewal application will not be available to a provider until 90 days before their current agreement expires.
Through the online renewal process providers may verify the information currently on their provider file, submit any necessary corrections, and upload supporting documentation including a signed Medicaid Provider Agreement and proof of a current, Medicaid eligible background screening.
Providers will upload supporting documentation including:
- Florida Medicaid Provider Agreement with appropriate signatures.
- Proof of current, Medicaid eligible background screening or proof of exemption from fingerprinting.
- Documentation of any adverse history associated with the applicant.
- Supporting documentation for any requested changes to information on the provider record such as name, tax ID, address, national provider identifier, electronic funds transfer account, electronic remittance or data interchange configuration.
Applicants can review the Provider Renewal Guide before beginning the renewal application. Florida Medicaid forms are available on the Enrollment Forms page.
The following instructions are available to assist providers with the renewal process:
Additional Resources
AHCA Adopted Rules
Adopted Rules - Florida Medicaid Forms
Adopted Rules - Provider Enrollment Policy
Florida Medicaid Contact Information Sheet
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