WebIf you are interested in joining our network call toll free 1-866-595-8116 or to request a contract use our Contract Request Form or email us at [email protected]. As a Sunshine Health provider, you can rely on: A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and ... WebDrug authorizations need to be verified by Envolve Pharmacy Solutions; for assistance call 866-399-0928. Post-acute facility (SNF, IRF, and LTAC) prior authorizations need to be verified by CareCentrix ; Fax 877-250-5290 Speech, Occupational and Physical Therapy need to be verified by NIA . For Chiropractic providers, no authorization is required.

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Secure Provider Portal. If you are a contracted Sunshine Health provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim. Once you have created an account, you can use the Secure Provider Portal to: Verify member eligibility; Manage claims; … See more Provider Town Halls cover a variety of post-integration updates to better assist you in navigating our processes. Our Town Hall series is ongoing; … See more Sunshine Health values our relationship with our provider partners and are pleased to announce updates for Screening, Brief Intervention and Referral to Treatment (SBIRT)for persons with substance use disorders. See more Sunshine Health covers vaccinations for MediKids enrollees under the SMMC program. Services rendered in 2024-2024 will be paid at the applicable 2024 MediKids fee schedule or MPIP rate. Services rendered … See more We have updated our process for prompt payment of claims. As of December 6, 2024, Sunshine Health providers will notice an increased frequency in their payment schedule. See more WebEVV and Claims Billing for Florida’s State Medicaid Managed Care Program Starting on December 1, 2024, Humana, Staywell, and Sunshine Health (the “MCOs”) will require providers to use HHAeXchange to submit confirmed visits and bill directly to each MCO through the free HHAeXchange Portal. mild hepatic steatosis and hepatomegaly

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WebOct 1, 2024 · Find a Provider/Pharmacy. Who are you? Select type. . Select your state. Select your state. . Select your plan. Select your plan. WebWe know PA requests are complex. That's why we have a team of experts and a variety of help resources to make requests faster and easier. LET’s GET STARTED. 1 - … WebLogin to Your Account Access your secure provider information any time. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. Check Now Provider … new years nationals bradenton