Health and Human Services

Welcome to Eligibility & Utilization Services​​​

The Eligibility & Utilization Services Program is where access to health services begins. This program provides many services to patients including:

• Registration for the Seminole Tribe of Florida Self-Funded Supplemental Health Plan – Tribal Members Only
• Registration for Health Services for other individuals eligible for direct health care and purchased/referred care in accordance with 42 CFR Part 136 and other Seminole Tribe of Florida guidelines
• Generate referrals and schedule appointments for patients requiring services outside of the Seminole Tribe of Florida Health Clinic
• Provide education and assistance to patients concerning eligibility, registration for health services, and benefits
• Distribute Seminole Tribe of Florida Self-Funded Supplemental Health Plan cards and Plan books 
• Negotiate rates with out of network providers when necessary
• Ensure HIPAA compliance
• Assist patients with matters related to HIPAA and privacy complaints
• Manage the Medicare Premium payment/reimbursement program
• Audit global invoices and check runs
• Manage Catastrophic Health Emergency Fund​