Medicaid sunshine health

Your Medicaid Benefits. Your Medicaid Expanded Benefits. Your Behavioral Health Enhanced Benefits. Learn about Benefits and Services available from Sunshine Health …

Medicaid is a government-funded healthcare program designed to provide medical assistance to low-income individuals and families. It is a vital resource for those who cannot afford...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 know you are pregnant by ...Try expanding your search for Sunshine Health Treatment Centers in West Palm Beach to a larger area (e.g. Palm Beach County, Florida) Sunshine Health (Sunshine State Health Plan) Treatment CentersAre you considering retiring on the beautiful Sunshine Coast? With its stunning beaches, vibrant communities, and year-round sunshine, it’s no wonder this region is a popular choic...Active local involvement. We believe local partnerships enable meaningful, accessible healthcare. Sunshine Health is a Florida Medicaid health plan and a wholly-owned …Sunshine Health covers select spacers/aerosol-holding chambers for Medicaid members that will be covered through the pharmacy benefit. Members may receive one select …

2. Receive a letter to choose a plan. 3. Choose a plan. 4. Call a Choice Counselor toll-free at 1-877-711-3662 (TTY 1-866-467-4970) or visit the Statewide Medicaid Managed Care page online. 5. Receive a welcome packet from your plan. CHOOSE SUNSHINE HEALTH.If you are eligible for Medicaid, you can continue your Sunshine Health coverage or choose another plan. If you are no longer eligible for Medicaid, you can explore our Marketplace …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 ( …Earn cash rewards through Sunshine Health My Health Pays programs: Comprehensive Diabetes Care: For members ages 18-75. Must complete both HbA1c test and retinopathy screening (dilated eye exam) once a year. Earn $25. Weight Loss Health Coaching Sessions: For members age 10 and older. Must submit a consent form, verbally pledge to lose weight ... To speak with a Sunshine Health case manager, call 1-866-796-0530 and then follow these steps: Press #1 for Member. Press #3 for Medicaid. Press #4 for Case Management. Sunshine Health MMA (Medicaid) Resources for You. Thank you for being part of our network of eye care professionals. For the most up-to-date, detailed information, we encourage you to join our provider network and register for our Eye Health Manager, where you can check member eligibility, vision benefits, plan specifics, …CMS Health Plan, operated by Sunshine Health, provides managed care services to members. Sunshine Health is a licensed Florida health plan. Eligibility. The CMS Health Plan is for children who: Are under age 21 and eligible for Medicaid and; Have special healthcare needs that require extensive preventive and ongoing careAny action to defraud Sunshine Health, Medicaid, or the AHCA program. If you report suspected fraud and your report results in a fine, penalty or forfeiture of property from a doctor or other health care provider, you may be eligible for a reward through the Attorney General’s Fraud Rewards Program (toll-free 1-866-966-7226 or 1-850-414-3990 ).

If you need help finding an in-network provider, please call Member Services at the number on the back of your ID card. We will help you. Sunshine Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Find a provider today. Feb 16, 2024 · Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply. SeniorsMobility provides the best information to seniors on how they can stay active, fit, and healthy. We provide resources such as exercises for seniors, where to get mobility ai...They also help make sure your baby is growing and developing properly. It’s important to see a doctor if you are planning on becoming pregnant, or as soon as you know you are pregnant. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool or call Member Services at 1-855-463-4100.A caregiver’s job can include: Personal care. Home chores. Emotional support. Medical care. Help with finances. If you are a caregiver and would like to learn more about the Caregiving Collaborations ® program, please call Member Services at 1-866-796-0530 (TTY 1-800-955-8770) and ask to be transferred to your loved one’s care coordinator.DME Fax to: 833-741-0943 HH Fax to: 866-534-5978 BH: Fax 844-208-9113. Urgent requests - Please call 1-844-477-8313. *Urgent requests are made when the member or his/her physician believes that waiting for a decision under the standard timeframe could place the enrollee’s life, health, or ability to regain maximum function in …

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Sep 2, 2021 ... Medicaid Family Planning Waiver Program · How ... Family Health Line ... Tallahassee, FL 32399. External Link to open up the CMS - Sunshine Health ...Contacting Member Services. You may call us at 1-866-796-0530, or TTY at 1-800-955-8770, Monday through Friday, 8 a.m. to 8 p.m., but not on state approved holidays (like …As a Sunshine Health member, you have access to postpartum benefits and services that will support the health of you and your newborn baby. State Medicaid coverage allows women to keep Medicaid for 12 months after giving birth. These benefits include: $25 Over-The-Counter Benefit: $25 provided per household per month to buy products like cough, …According to the Colorado Department of Health Care Policy and Financing, people who want to find out if their Medicaid is active can check the status through their state’s benefit...Effective Sept. 1, 2021, OneTouch® is the only preferred brand of diabetes testing supplies for Sunshine Health Medicaid members. If you’re using OneTouch® meters for the first time, OneTouch Verio® offers different meter options to meet your health needs. To support a smooth transition to the OneTouch Verio® meter, …

Remember, your Medicaid coverage now lasts for a full year after you give birth. Talk to your doctor. If you are a Sunshine Health member and need to find a doctor, call Member Services at 1-866-796-0530 or use our Find a Provider Tool.Learn more about Sunshine Health’s benefits and services for the following chronic conditions: All of our programs are geared toward helping you understand and actively manage your health. We are here to help you with things like: If you have one of the conditions above, call Member Services at 1-866-796-0530 (TTY 1-800 …Aug 28, 2014 ... Today, Sunshine Health is the largest Long-Term Care plan in the Florida, providing services for more than 30,000 nursing home and home and ...Includes: One initial assessment per year, one reassessment per year, up to 150 minutes of brief behavioral health status assessments per year (no more than 30 minutes in a single day). Individual Therapy Services – One-on-one therapy sessions with a mental health professional.Feb 16, 2024 · Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today. Skip to Main Content. Our website has a fresh new look. You can continue to access the same information and tools you depend on. Get started today. ...Effective Sept. 1, 2021, OneTouch® is the only preferred brand of diabetes testing supplies for Sunshine Health Medicaid members. If you’re using OneTouch® meters for the first time, OneTouch Verio® offers different meter options to meet your health needs. To support a smooth transition to the OneTouch Verio® meter, …Services Health Plan, quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn . ngữ của mình miễn phí. Để nói chuyện với một thông dịch viên, xin gọi 1-866-799-5321 (TTY 1-800-955-8770). Application Submission Email Address. Children's Medical Services Health Plan Medicaid WebpageSunshine Health can help connect you to services and supports to help with your asthma. Here are some benefits you may qualify for: Benefits. Asthma Disease Management Program – Education and personal help from Sunshine Health staff. Learn more about the health risks, triggers and treatments of asthma. Call …Sunshine Health was selected by the Agency for Health Care Administration (AHCA) to participate in the SMMC Housing Assistance Pilot Program (PDF) for Region 5 and Region 7. This program helps our adult Medicaid members who are homeless or at risk of being homeless keep a stable living arrangement. Members must have a Serious Mental …We want to ensure that your child is receiving the services required to keep them safe in your home. Please contact Sunshine Health right away when a Private Duty Nursing shift is missed. Learn how to reach us: Medicaid (MMA) Long Term Care (LTC) Serious Mental Illness (SMI) Specialty Plan. Child Welfare Specialty Plan …

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LOAP/Practitioner Roster Form (Excel). Additions only. Please do not submit a full roster. Disclosure of Ownership Form (PDF) Disclosure of Ownership Form (PDF) - facilities. Call Provider Services at 1-844-477-8313 or Fax 1-866-614-4955 with questions about claims, credentialing or network status. Providers are asked to verify member eligibility by using the Sunshine Health secure provider portal. Using the portal, any registered provider is able to quickly check member eligibility by indicating the date of service, member name, and date of birth or the Medicaid ID number and date of birth. Providers may call Provider Services at 1-844 ... Try expanding your search for Sunshine Health Treatment Centers in West Palm Beach to a larger area (e.g. Palm Beach County, Florida) Sunshine Health (Sunshine State Health Plan) Treatment CentersWhat You Can Do. Write us or call us at any time. 1-866-796-0530 (phone) or TTY at 1-800-955-8770. Call us to ask for more time to solve your grievance if you think more time will help. You can contact us at: Sunshine Health. P.O. Box 459087. Fort Lauderdale, FL 33345-9087.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 ...To speak with a Sunshine Health case manager, call 1-866-796-0530 and then follow these steps: Press #1 for Member. Press #3 for Medicaid. Press #4 for Case Management.Sunshine Health covers select spacers/aerosol-holding chambers for Medicaid members that will be covered through the pharmacy benefit. Members may receive one select … Sunshine Health P.O. Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-866-796-0530 ... Sunshine Health is a managed care plan with a Florida Medicaid contract. The ... 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.

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As a Sunshine Health member, you get these doula benefits at no-cost: 3 visits while pregnant. In-person labor support at birthing location. 2 visits after birth. Text, email and phone support between visits. 24/7 on-call support at 37 weeks until birth. Doula visits can be at your home, doctor’s office or in a public place. 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 ). Dec 31, 2023 · 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 must resolve the standard appeal within 30 days and an expedited appeal within 48 hours. Providers may request an “expedited plan appeal” on their patients’ behalf if they believe that waiting 30 days for a resolution would put their life, health or ability to attain, maintain or regain maximum function in danger.Medicaid is a government-funded program that provides healthcare coverage to low-income individuals and families. It is designed to help those who cannot afford private health insu... These resources are available in a mobile app. Visit your phone's app store to download a free version of Krames StayWell or myStrength. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today. To enroll your child in Children’s Medical Services Health Plan, you must be eligible for Florida Medicaid. You can call Medicaid Choice Counseling at 1-877-711-3662 (TTY 1-866-467-4970), Monday-Thursday, 8 a.m.-8 p.m., and Friday, 8 a.m.-7 p.m. You can also visit the SMMC website. A Medicaid Choice Counselor will help you select a plan.Medicaid is a government-funded healthcare program designed to provide medical assistance to low-income individuals and families. It is a vital resource for those who cannot afford...Important Update on Medicaid Redeterminations. Beginning in April 2023, redetermination will resume for the first time since the Public Health Emergency caused by COVID began. This means your patients who no longer meet the Medicaid eligibility requirements will be disenrolled over a 12-month period, with the first group losing coverage on ... ….

Authorization Submission Updates. Date: 11/03/21. Fort Lauderdale, Florida. Sunshine Health is excited to announce we completed our integration with Staywell Health Plan. This includes the integration of Children’s Medical Services (CMS) Health Plan, which is now operated by Sunshine Health. The transition … Visit the Florida Department of Children and Families website to apply for Florida Medicaid. 2. Receive a letter to choose a plan. 3. Choose a plan. 4. Call a Choice Counselor toll-free at 1-877-711-3662 (TTY 1-866-467-4970) or visit the Statewide Medicaid Managed Care page online. 5. Receive a welcome packet from your plan. CHOOSE SUNSHINE HEALTH Try expanding your search for Sunshine Health Treatment Centers in West Palm Beach to a larger area (e.g. Palm Beach County, Florida) Sunshine Health (Sunshine State Health Plan) Treatment CentersSunshine Health Offers Free Webinars to Improve CDI, Coding Skills. The virtual training sessions are focused on the 2024 CMS Model and ICD-10 Diagnosis Code Updates. If you are impacted by the Change Healthcare outage, please visit our website for further information . Sunshine Health offers free online accounts for providers.Mileage Reimbursement Trip Logs for Medicaid, Serious Mental Illness and Child Welfare members should be mailed to ModivCare for payment at: ModivCare Claims Department Mileage Reimbursement 798 Park Ave. NW Norton, VA 24273 . Mileage logs for Long Term Care members should be mailed to Alivi for payment at: Alivi … Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply. 1-866-796-0530 (TTY 1-800-955-8770) Press 1 for Member. Press 2 for LTC or 3 for MMA. Press 5 for Nurse Advice Line. Email Sunshine Health. [email protected]. Include your child’s name, Medicaid ID number and home health provider, the date and time of the shift missed, and your …24/7 Nurse Advice Line 1-866-796-0530 (TTY 1-800-955-8770) No matter what time it is, Sunshine Health is here to make sure you have the answers you need, when you need them. When you call our free Nurse Advice Line, you can speak directly to an experienced nurse who is ready to help you and your family — 24 hours a day, 7 days a week and 365 ... Medicaid sunshine health, [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1], [text-1-1]