Sunshine Health is committed to providing our members with the resources they need to get the best care possible. In this section, we provide information, education and resources. This includes your Member Handbook, forms and more. If you need help understanding any of the information, please call us at 1-866-796-0530 ( TDD/TTY 1-800-955-8770 ). Sunshine State Health Plan Attn: LTC Reconsideration PO Box 4001 Farmington, MO 63640‐4401. Providers may submit in writing, with all necessary documentation, including the EOP for consideration of additional reimbursement. A response to an approved adjustment will be provided by way of check with an accompanying EOP. Are you in the market for a used RV in Florida? With its beautiful weather and countless attractions, it’s no wonder that the Sunshine State is a popular destination for RV enthusi...Sunshine Health is committed to providing appropriate, high quality, and cost-effective care to our members. Some products may require prior authorization (PA) or have limitations on maximum quantities. For the most current information about the Sunshine Health Pharmacy Program, you may call Provider Services at 1-844-477-8313 or visit Pharmacy ...Our Benefits. Better Coverage. Better Perks. Ambetter Health is on a Mission for Better, and that means better coverage and better perks for you. Beyond great everyday benefits like Virtual 24/7 Care*, members have access to exclusive programs like My Health Pays®** and Ambetter Perks. We’re adding value to your affordable health insurance plan. Sunshine State Health Plan Attn: LTC Reconsideration PO Box 4001 Farmington, MO 63640‐4401. Providers may submit in writing, with all necessary documentation, including the EOP for consideration of additional reimbursement. A response to an approved adjustment will be provided by way of check with an accompanying EOP. Sunshine State Health Solutions delivered exactly that. Albert took the time to understand my lifestyle and health concerns, and found a tailored and affordable plan that provided me with the coverage / needed. / feel confident knowing that I have the support of Sunshine State Health Solutions behind me.” Freddie Ethan ” — …Sunshine Health is committed to providing our members with the resources they need to get the best care possible. In this section, we provide information, education and resources. This includes your Member Handbook, forms and more. If you need help understanding any of the information, please call us at 1-866-796-0530 ( TDD/TTY 1-800-955-8770 ). Sunshine Health P.O. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 TTY: 1-800-955-8770 Monday-Friday 8 a.m.-8 p.m. Eastern Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to Sunshine Health. The cybersecurity incident has created a service disruption impacting Sunshine Health members and provider network in several ways. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and …You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions.Learn about Florida health insurance, Medicare and Medicaid health care plans from Sunshine Health and enroll today.Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through our Medicaid, Long Term Care and specialty plans. Our innovative programs and services are created and led by people passionate ...Community Resource Database. Sunshine Health’s Community Resource Database connects people in need with programs that can help them. The Community Resource Database makes it easy for people who have social needs — and those who help others — to find and make referrals to appropriate programs and …Telemedicine can help you: Engage patients to take a more active role in their health. Treat patients with non-emergent health issues remotely, or after hours. Improve efficiency with fewer no-show appointments. Expand your geographic reach, especially to patients in rural areas. Refer patients to out-of-area specialists.Sunshine Health offers benefits and services to get you through pregnancy, postpartum care and your overall family planning. The first step of any pregnancy journey is to see a doctor. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool or call Member Services at 1-866-796-0530. Please let us …Ambetter from Sunshine Health includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Sunshine …Wellcare is the Medicare brand for Centene Corporation, an HMO, PPO, PFFS, PDP plan with a Medicare contract and is an approved Part D Sponsor. Our D-SNP plans have a contract with the state Medicaid program. Enrollment in our plans depends on contract renewal. Every year, Medicare evaluates plans based …Sugarcane juice has become a popular beverage around the world, known for its refreshing taste and numerous health benefits. Sugarcane is a tall perennial grass that thrives in tro...Enroll in an affordable Ambetter plan with our valued provider partner Community Medical Group. Ambetter Health™ and Community Medical Group are teaming up for your health. Explore affordable plans from a trusted provider today and get care at Community Medical Group’s locations in Broward, Miami-Dade and Hillsborough. Shop Plans.Sunshine Health notifies providers in advance of a medical record review. A score of eighty-percent (80%) with at least five of the six core NCQA standards must be met to receive a passing score (core standards are marked with an asterisk). At a minimum, each medical record must be legible and maintained in detail with the following ...Sunshine State Health Solutions delivered exactly that. Albert took the time to understand my lifestyle and health concerns, and found a tailored and affordable plan that provided me with the coverage / needed. / feel confident knowing that I have the support of Sunshine State Health Solutions behind me.” Freddie Ethan ” — …We are a dedicated DME company which provides disposable medical products and durable equipment having a broad product catalog comprising: incontinence, ostomy, ... If you have any questions, we’re here to help Monday through Friday, 8 a.m. to 8 p.m. You can call us at any time, even after business hours, to reach our 24-hour Nurse Advice Line. 1-866-796-0530 ( TTY 1-800-955-8770) According to the National Institute of Mental Health (NIMH), one out of five adults in the United States lives with a mental illness. To this end, the U.S. Government Accountabilit...Feb 21, 2024 · Our Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line staff are available 24/7 for after-hour calls. Last Updated: 02/21/2024. Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check. Sunshine State Health Plan Inc. of Tampa had until 5 p.m. Thursday to dispute the large fine imposed last month by its government regulator, the Agency for Health Care Administration, leaving the company with only the option to concede to pay. “Sunshine waives any dispute not raised within 21 days,” the government had warned the company ...Sunshine State Health Plan, Inc. a provider in 1700 N University Dr Plantation, Fl 33322. Phone: (954) 377-8490 Taxonomy code 302R00000X. Insurance plans accepted: Medicaid and MedicareIn today’s digital era, where news travels at lightning speed and information is readily accessible with a few clicks, it’s easy to overlook the significance of traditional forms o...If you don’t have your account yet, setting it up is quick and easy – get started now! You can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). There are many ways to get in touch with us, and resources available on our website: Enroll with Ambetter. Login to the Secure Member Portal.If you have a chronic illness, it isn't only your health at risk. With the high cost of chronic disease, your wallet might be too. Eric Strausman Eric Strausman Mary Engleton looke... Out-of-state travel. Transfers between hospitals or facilities. ... Sunshine Health P.O. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 Mount Sinai Medical Center. University of Florida (UF) Jacksonville. University of Central Florida (UCF) University of Florida (UF) Gainesville. University of Florida (UF) Sacred Heart. University of Miami Hospital. University of South Florida (USF) The Sunshine Health provider directory is a list of physicians, hospitals and other healthcare ... Now, working with a FL Sunshine State Health Plan Prior Authorization Fax Form takes a maximum of 5 minutes. Our state-specific online blanks and simple guidelines remove human-prone errors. Adhere to our easy steps to get your FL Sunshine State Health Plan Prior Authorization Fax Form ready quickly: Choose the template in the library.31 Oct 2019 ... Those people who can't afford health insurance in Florida are typically working adults, age 19 to 64. Children, seniors, pregnant women and some ... Sunshine State Health Plan, Inc., hereafter referred to as Sunshine Health, is required by state and federal regulations to capture specific data regarding services ren dered to its members. The provider must adhere to all billing requirements in order to ensure timely processing of claims and to avoid unnecessary rejections and/or denials. Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to Sunshine Health. The cybersecurity incident has created a service disruption impacting Sunshine Health members and provider network in several ways. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and …Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through through our Medicaid, Long Term Care and specialty plans.Sunshine Health is committed to providing appropriate, high quality, and cost-effective care to our members. Some products may require prior authorization (PA) or have limitations on maximum quantities. For the most current information about the Sunshine Health Pharmacy Program, you may call Provider Services at 1-844-477-8313 or visit Pharmacy ...May 24, 2023 · Welcome Members. Sunshine Health addresses serious mental illness by helping members take control of every part of their health. Our specialty plan offers coordinated behavioral, medical and pharmacy services, a team-based approach, including behavioral and medical providers, licensed health clinicians and pharmacists. Native Hawaiian and Pacific Islander families in the United States have endured mental health challenges. Here's why and how to support well-being. Asian Pacific Islanders are a di... The target webpage provides the Florida Next Generation Sunshine State Standards for Health Education, which outline the essential content and skills for students from kindergarten to grade 12. The standards cover topics such as personal, interpersonal, and community health, injury prevention and safety, nutrition and fitness, and substance use and abuse. The webpage also includes a glossary ... Introduction. Among low-income individuals and African Americans, utilization of mental health services is low. 1,2 African Americans are less likely …Proudly Accepts Sunshine Health Insurance – IN NETWORK. Spine and Wellness Centers of America. Sunshine Health is known for their commitment .... To contact a Provider Services representative, call 1-844-477-8313. For questions on medical or behavioral health authorizations, call 1-844-477-8313. Medicaid, Serious Mental Illness and Child Welfare: 1-833-750-4392. Ambetter, Medicaid, Serious Mental Illness and Child Welfare: 1-800-460-8988. Are you looking for the perfect winter getaway? Look no further than Sarasota, Florida. With Snowbird Rentals, you can experience a winter wonderland vacation in the Sunshine State...Prior Authorization Fax Form. This is a standard authorization request that may take up to 7 calendar days to process. If this is an expedited request, please contact us at 1-866-796-0530. If this is a Medicare Request, please fax to 877-617-0394. * INDICATES REQUIRED FIELD.State purchasers of healthcare use the aggregated HEDIS rates to evaluate the effectiveness of a health insurance company’s preventive health outreach efforts. Physician specific scores are being used as evidence of preventive care from primary care office practices. These rates then serve as a basis for physician profiling and … The Sunshine Health provider directory is a list of physicians, hospitals and other healthcare providers that are available to you. Some providers may not perform certain services based on religious or moral beliefs. Ronnie “Sunshine” Bass resides in North Myrtle Beach, S.C. The elder Bass spends time aiding in the athletic development of his son, Ronnie Jr., who is a quarterback on the North M...Mar 10, 2022 · Sunshine State Health Plan, Inc. a provider in 1700 N University Dr Plantation, Fl 33322. Phone: (954) 377-8490 Taxonomy code 302R00000X. Insurance plans accepted: Medicaid and Medicare It’s easy to use your $25 a month benefit. Order items via the online OTC booklet. Order by phone. Shipping is free. Call 1-888-262-6298 Monday through Friday from 9 a.m. to 8 p.m. local time. Shop in person for items at select CVS stores. Check the store locator or call OTCHS 1-888-628-2770 (TTY: 711) to find the …28 Aug 2014 ... Sunshine Health is a Medicaid managed care health plan that has served Florida members since 2009. As one of the largest medical benefit ...South Florida Hospital News and Healthcare Report's number one goal is top quality healthcare journalism written and edited for the region's most successful, ...Contact us at 1-877-687-1169 ( Relay Florida 1-800-955-8770) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. **Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care.Two studies reiterate how working at home improves mental health. Here's what small business owners need to know about this important topic. Today 69% of employees in the United St...Health policy basics: the Physician Payment Sunshine Act and the Open Payments program. Ann Intern Med. 2014 Oct 7;161(7):519-21. doi: 10.7326/M14-1303. To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 6075525. The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options. Contact Information. Healthy Schools. Bureau of Standards and Instructional Support. 325 W. Gaines Street, Suite 444. Tallahassee, FL 32399-0400. 850-245-0423. There are three Florida Statutes that reference instruction in comprehensive health education related to family life, and prevention and control of disease. F. Active local involvement. We believe local partnerships enable meaningful, accessible healthcare. Sunshine Health is a Florida Medicaid health plan and a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services. If you don’t have your account yet, setting it up is quick and easy – get started now! You can also reach us from 8am-8pm EST at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). There are many ways to get in touch with us, and resources available on our website: Enroll with Ambetter. Login to the Secure Member Portal.Florida is a popular destination for vacationers and business travelers alike. With its sunny beaches, theme parks, and warm weather year-round, it’s no wonder why so many people f...Use the Pre-Auth Needed tool on our website to determine if prior authorization is required. Submit prior authorizations via: Secure Provider Portal. Medical Fax: 1-855-678-6981. Behavioral Fax: 1-844-208-9113. Phone: 1-877-687-1169. Mount Sinai Medical Center. University of Florida (UF) Jacksonville. University of Central Florida (UCF) University of Florida (UF) Gainesville. University of Florida (UF) Sacred Heart. University of Miami Hospital. University of South Florida (USF) The Sunshine Health provider directory is a list of physicians, hospitals and other healthcare ... As a Sunshine Health member, you get your Medicaid benefits, a large provider network, a 24/7 nurse line, and many extras to help you live a more healthy life, including: Unlimited nutritional counseling as recommended by your doctor; Unlimited art therapy as recommended by your doctorContact Information. Healthy Schools. Bureau of Standards and Instructional Support. 325 W. Gaines Street, Suite 444. Tallahassee, FL 32399-0400. 850-245-0423. There are three Florida Statutes that reference instruction in comprehensive health education related to family life, and prevention and control of disease. F.About Our Plans. Ambetter Health offers Marketplace insurance plans with different coverage and benefit options, and premium levels. Learn more about our plan options, including Ambetter Select, Ambetter Value and Ambetter Virtual Access plans! Find the Ambetter Health plan that works best for you. Ambetter Bronze, Silver and Gold.On May 9, 1980, the storm-blinded Summit Venture freighter, lost in fog, slammed into the support columns of the old Sunshine Skyway bridge. A …Contact us at 1-877-687-1169 ( Relay Florida 1-800-955-8770) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. **Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care.Sunshine Health is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Elimination of paper checks – all deposits transmitted via EFT to the designated ...How to Contact Us. Ambetter from Sunshine Health 1301 International Parkway Sunrise, FL 33323. Normal Business Hours of Operation 8:00 a.m. to 6:30 p.m. EST. Member Services 1-877-687-1169 TDD/TTY line 1- 877-941-9230 Fax. 1-877-941-8076 Emergency 911.As a Sunshine Health member, you get your Medicaid benefits, a large provider network, a 24/7 nurse line, and many extras to help you live a more healthy life, including: Unlimited nutritional counseling as recommended by your doctor; Unlimited art therapy as recommended by your doctorAbout Our Plans. Ambetter Health offers Marketplace insurance plans with different coverage and benefit options, and premium levels. Learn more about our plan options, including Ambetter Select, Ambetter Value and Ambetter Virtual Access plans! Find the Ambetter Health plan that works best for you. Ambetter Bronze, Silver and Gold. Sunshine State Health Plan, Inc., hereafter referred to as Sunshine Health, is required by state and federal regulations to capture specific data regarding services ren dered to its members. The provider must adhere to all billing requirements in order to ensure timely processing of claims and to avoid unnecessary rejections and/or denials. Providers with questions about prior authorizations can contact Sunshine Health Long Term Care at (877) 211-1999 and MMA at (866) 796-0530. Please follow the prompts for provider when calling. 1-866-796-0530. TDD/TTY 1-800-955-8770. SunshineHealth.com. About Our Plans. Ambetter Health offers Marketplace insurance plans with different coverage and benefit options, and premium levels. Learn more about our plan options, including Ambetter Select, Ambetter Value and Ambetter Virtual Access plans! Find the Ambetter Health plan that works best for you. Ambetter Bronze, Silver and Gold. Florida is known for its beautiful beaches, warm weather, and vibrant lifestyle. It’s no wonder that many people choose to escape the cold winter months or retire in the Sunshine S... Ages 50-74 years: Complete annual mammogram screening. $20: HRA completion. Completion of HRA for new members within 60 days of enrollment. $20: HPV vaccine series. Ages 13-26 years. Complete 2-3 doses human papillomavirus (HPV) vaccine. $20: TDAP for pregnant women. Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through our Medicaid, Long Term Care and specialty plans. Our innovative programs and services are created and led by people passionate ...Sunshine Health is committed to providing our members with the resources they need to get the best care possible. In this section, we provide information, education and resources. This includes your Member Handbook, forms and more. If you need help understanding any of the information, please call us at 1-866-796-0530 ( TDD/TTY 1-800-955-8770 ).Skip to main contentMar 10, 2022 · Sunshine State Health Plan, Inc. a provider in 1700 N University Dr Plantation, Fl 33322. Phone: (954) 377-8490 Taxonomy code 302R00000X. Insurance plans accepted: Medicaid and Medicare This Medicaid, Comprehensive Long-Term Care and Serious Mental Illness (SMI) Member Handbook (PDF) will be your guide for all healthcare services available to you. If you have any questions, or need help making appointments, just call us at 1-866-796-0530. The Florida Medicaid Handbook for members of Sunshine Health tells you how our program ... If you’re looking for a furry companion to bring into your home in the Sunshine State, Florida has a wide variety of adorable puppies to choose from. Each breed comes with its own ... Sunshine Health focuses on a comprehensive approach to care for our members, which includes a combination of physical and behavioral health services. Behavioral health providers and referrals to them, as needed, play an essential role in providing this integrated care. Evidence-based screening tools can assist primary care providers in ... Sunshine Health is committed to providing our members with the resources they need to get the best care possible. In this section, we provide information, education and resources. This includes your Member Handbook, forms and more. If you need help understanding any of the information, please call us at 1-866-796-0530 ( TDD/TTY 1-800-955-8770 ). SUNSHINE STATE HEALTH PLAN, INC. is an Active company incorporated on April 3, 2007 with the registered number P07000041597. This Domestic for Profit company is located at 1299 NW 40th Ave, Ste. C, Lauderhill, FL, 33313, US and has been running for seventeen years. View our 2024 Ambetter Plan Brochure to see the valuable benefits each plan has to offer. 2024 Ambetter Select Plan Brochure (PDF) 2024 Ambetter Value Plan Brochure (PDF) 2024 Ambetter Virtual Access Plan Brochure (PDF) Plans may vary by county. Please enter your zip code to see plans available in your area. Health Savings Accounts (HSAs) are ... Welcome Members. Sunshine Health addresses serious mental illness by helping members take control of every part of their health. Our specialty plan offers coordinated behavioral, medical and pharmacy services, a team-based approach, including behavioral and medical providers, licensed health clinicians and pharmacists.Banner Health is a leading healthcare provider in the United States, with over 50 hospitals and care centers across seven states. As an employer, Banner Health is committed to prov...ModivCare provides transportation for Sunshine Health Medicaid members. There are no limits to the number of trips during the year between medical appointments, healthcare facilities or pharmacies. ... Out-of-state travel; Transfers between hospitals or facilities; Escorts when medically necessary; Prior authorization is … View our 2022 Ambetter Plan Brochure (PDF) to see the valuable benefits each plan has to offer. Plans may vary by county. Please enter your zip code to see plans available in your area. Health Savings Accounts (HSAs) are available with certain Bronze plans. Learn more about HSA plans on The Fidelity HSA® website. View All Plans. URL Codes. ---1