Florida Health Care Plans (FHCP) Medical Oncology Program

Welcome

Florida Health Care Plans (FHCP) and Carelon Medical Benefits Management recognize the key role that medical oncology practices play in the delivery of quality cancer care. Together, we are implementing the FHCP Medical Oncology Program to promote evidence-based, high-value care for FHCP members undergoing chemotherapy. This site was developed to support your oncology practice as you participate in the FHCP Medical Oncology Program.

Benefits to Your Practice

  • Synchronization with FHCP medical policy. All prescribed regimens are reviewed in real time for benefit coverage under FHCP medical policy.
  • Actionable information. When your practice prescribes a cancer treatment regimen for a patient covered by FHCP and submits it to Carelon for review, the prescribed regimen is compared against a comprehensive library of current, evidence-based Carelon Cancer Treatment Pathways. If the planned regimen is not aligned with a Carelon Pathway, information on evidence-based alternative regimens may be presented for your review.

Program Resources

Visit the Resources page to access Pathways details, a step-by-step tutorial, FAQs, and other resources to support your participation in the FHCP Medical Oncology Program.

Carelon Cancer Treatment Pathways Worksheets

Our worksheets can help you gather the patient clinical information you’ll need to enter your order request in the Carelon provider portal.

Carelon Cancer Treatment Pathways Clinical Details

Clinical details for all Carelon Cancer Treatment Pathways