- For Members
Keeping you healthy and well is important to us. We want you to have access to the care you need at the right time and in the right place. This website will help you learn about your benefits and services we provide for you.
My Online Services is our secure member portal. We make it easy for you to find and use your personal health data.
We built this portal around a Personal Health Record. Some of the features include:
- Recent claims & lab tests
- List of up to date drugs
- Locate a doctor or pharmacy
- Links to useful tools
- Drug & health information
- Wellness tools
- Calendar of things to remember
My Online Services
Access your health care information & manage your personal health with our wellness tools.
Medicaid Participating Providers
AHCA Medicaid Preferred Drug List (PDL)
$25 OTC Form
Medicaid Member Designated Representative Form
2014 Medical Release Form
Health Risk Assessment (English)
Health Risk Assessment (Spanish)
CHC FL Prior Authorization Form
Pre-Authorization Quick Guide
Notice of Privacy Practices
Notice of Privacy Practices - Spanish