Health Care Plan

Online Services

Obtaining a Login and Password

• Obtain your login and password online
• If you submit claims thorough an MSO, you will need to obtain access from your MSO
  • Your MSO must be or will need to be set up as account administrator
  • As the administrator they can give you access if you are contracted with them
• If you submit claims directly to the ASI claims clearing house, Emdeon, or you are an MSO, you can obtain your own login

Additional Assistance

• ACES Provider Online Verification (single/multi verification process)
  • Complete the fields on the Electronic Data Interchange (EDI) Release Access form at the link below. 
  • All fields are required but ensure you: select the purpose, input the NPI/TIN#, notate who your HCHCP Contact is and input a phone number that you can be reached at directly.  If any information is missing, the form will be returned to you for correction.
  • Email the completed and Signed form to:  ACESProviderPortalAccessInfo@HCFLGov.net
  • Once received, your signed form will go to the Director for review, approval and signature.
  • After the director has signed, you will receive an email with a link to access the portal along with the ACES Portal User Guide to enable you to create your user profile.

EDI Release Access form

• Call IVRS at (813) 272-5555
• Call Member Services at (813)272-5040
• ASI provider website
  • ASI is Hillsborough County’s third-party claims administrator
  • ASI is wholly owned by American Benefits Plan Administrator (ABPA) and includes other plans as well, which is why you will see the ABPA home page

Obtaining a Login and Password

Additional Assistance

Once enrolled, members will receive a card that shows they qualify for Hillsborough Health Care and that they are a member. Members must bring the cards with them each time they see a caregiver.

Types of Health Care Coverage by Plan Including Exceptions

• Plan A
  • Members are covered for all necessary medical services, not including those services listed in the exceptions section of the manual
  • The patient’s primary care physician must coordinate all services for these plan members


• Plan J
  • Members are covered for all Plan A services with the exception of inpatient facility charges
  • Plan J members are enrolled in the Medicaid Medically Needy program and must take their inpatient hospital bills to their Medicaid social worker


• Plan D
  • Members require specific authorization from Hillsborough Health Care for each service authorized
  • Plan D members are covered for only a specific service

Exception Codes

• XX: Patient has other coverage plan which may be primary payer, i.e. automobile insurance, etc.
• YY: Patient has a specific illness or injury that is covered by another payer, i.e. worker's compensation, victims of crime compensation, vocational rehabilitation, etc.
• MN: Patient has Medicaid Medically Needy program. Inpatient facility charges are not covered for payment as Medicaid is primary payer.

Hillsborough Health Care is not a second-party payer for any service covered by another payer resource.

Visit KePRO, the Hillsborough County Health Care Plan’s utilization review and medical management vendor. In KePRO’s medical management system, you can enter referrals, request pre-authorizations and check on the status of existing referrals or pre-authorizations. If you are a first time user, you may need to register and set up an account.

Provider Enrollment Database

Use these guides to navigate the ACES online portal:

• ACES Portal - Provider Back Office Users Guide
• ACES Portal - Provider Eligibility Check Guide
• HCS Staff & Providers Enrolling Clients
• Access to Check Client Eligibility Only