PO Box 016960 (LC-2940)
Miami, FL 33101
Tel. 305-243-3169
800-294-8642, ext. 4
305-243-7270, ext. 4
877-520-6254 TTY callers
305-243-7790 Fax
Provider Portal
UMBH Provider Manual
QI Program Overview
Provider Newsletters
Improving Care and Service
Clinical Practice Guidelines
- Major Depressive Disorders practice guidelines
- ADHD practice guidelines
- Substance Use Disorders practice guidelines
- Panic Disorder practice guidelines
- Bipolar Disorders practice guidelines
- Suicidal Behaviors practice guidelines
- Schizophrenia practice guidelines
- Management of Children with Autism Spectrum Disorders practice guidelines
- Psychiatric Consultation practice guidlines
Continuity and Coordination
- Expectations for Exchanging Information
- UMBH Exchange of Information Form
- UMBH Coordination of Care Guidelines
Medical Necessity Criteria
Cultural Competency
Utilization Management
- Utilization Management Notifications
- Standard Outpatient Treatment Forms
- UMBH Outpatient Authorization Guide
Member Rights and Responsibilities (Derechos y Responabilidades de los Afiliados)
Provider Privacy & Confidentiality
- Provider Confidentiality
- HIPAA General Rules
- UMBH Website Privacy Statement
- University of Miami Privacy Notice
Preventive Health Programs and Patient Safety Information
- ADHD Program
- MDD Program
- Targeted Care Management Program
- Post Partum Depression Program
- Patient Safety
Treatment Records
- Treatment Records
- Treatment Record Keeping Standards
- Treatment Record Review Guidelines
- Treatment Records Review Results
- Behavioral Health Documentation Manual
Florida Medicaid Information
Provider Forms
Community Links and Resources
Educational Materials
Provider Portal
Click here to access the UMBH Provider Portal, hosted by QuantumCare TPA.
Provider portal features:
- Check member eligibility
- Check claims status
- Submit claims inquiry
- Download and print EOBs
- Check payment status
- Check payment amounts