Sunshinehealth.com

Health & Wellness Florida Medicaid Sunshine Health

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.

Actived: 3 days ago

URL: https://www.sunshinehealth.com/members/cms/health-wellness.html

Portal for Members Login Sunshine Health

(9 days ago) 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.

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Sunshine Health Member Healthcare Resources Sunshine Health

(7 days ago) 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.

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Children’s Medical Services Health Plan Sunshine Health

(4 days ago) 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 or; Have special healthcare …

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Health Insurance in Florida Sunshine Health

(5 days ago) health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires, health and behavioral interviews (individual, group, family (with or without the patient) Must be a non-Medicaid caregiver of a member; unlimited with prior authorization: Prior Authorization Required. CVS Discount Card

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Telehealth Services

(5 days ago) 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.

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My Health Pays ® Program

(9 days ago) My Health Pays ® Program What is the My Health Pays Program? The My Health Pays Program is meant to promote healthy behaviors. It includes activities that can help your child live a healthier life. And your child can earn rewards for completing them!* Use Your My Health Pays rewards to help pay for: Getting recommended wellness checks for your

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My Health Pays® Rewards

(9 days ago) Sunshine Health’s Healthy Behaviors program aims to help members improve their health and wellness. The program also helps members manage chronic conditions and build relationships with their providers. Known as My Health Pays, the program lets members earn dollar rewards by completing healthy activities. Read the full evaluation (PDF).

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Over-the-Counter Health & Wellness Catalog

(8 days ago) Health Over-the-Counter Health and Wellness Benefit! Your Sunshine Health benefits include a monthly allowance. Use this allowance to purchase over-the-counter (OTC) items that you probably use every day. These include first aid supplies, cold/ cough medications, eye drops, toothpaste, pain relievers, vitamins and personal care items.

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Provider Directories Florida Medicaid Sunshine Health

(1 days ago) 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.

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Allwell Medicare Advantage from Sunshine Health

(6 days ago) Introducing Wellcare. Our health plans are getting a new look & name: Wellcare. The same great benefits and coverage you expect with a fresh new feel. Meet Wellcare. What you need to know: COVID-19 Info. Let us know your COVID vaccination status. Other Important Info. Welcome to Wellcare by Allwell's new Medicare Advantage website.

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Rewards Program Sunshine Health

(2 days ago) Sunshine Health’s Healthy Behaviors program aims to help members improve their health and wellness. The program also helps members manage chronic conditions and build relationships with their providers. Known as My Health Pays, the program lets members earn dollar rewards by completing healthy activities. Read the full evaluation (PDF).

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Florida Medicaid Member Handbook

(9 days ago) Questions? Call Member Services at 1-866-799-5321 (TTY 1-800-955-8770) 3 . Florida Department of Health Children’s Medical Services 1-850-245-4200

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Wellframe Sunshine Health

(8 days ago) 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.

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) Over-the-Counter Health & Wellness Catalog

(8 days ago) Health Over-the-Counter . Health and Wellness Benefit! Your Sunshine Health benefits include a monthly allowance. Use . this allowance to purchase over-the-counter (OTC) items that you . probably use every day. These include first aid supplies, cold/ cough medications, eye drops, toothpaste, pain relievers, vitamins and personal care items.

Category:  Vitamin Go Now

Member Services Child Welfare Plan Sunshine Health

(6 days ago) 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. 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

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Florida Medicaid Providers & Health Insurance Plans

(3 days ago) Health Insurance Marketplace. The Health Insurance Marketplace is an online shopping mall of healthcare plans. Sunshine Health's plan is called Ambetter. Ambetter offers affordable health care coverage for individuals and families. Depending on your family size and income, you may even qualify for help to pay your monthly premium.

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Reporting Healthcare Fraud, Waste & Abuse Sunshine Health

(9 days ago) Call CMS Health Plan's (Waste, Fraud, and Abuse) WAF Hotline at 1-866-685-8664. You do not need to give your name. To report waste, abuse, or fraud, gather as much information as possible. When reporting about a provider (a doctor, dentist, counselor, etc.) …

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Florida Medicaid Pharmacy Benefits Sunshine Health

(4 days ago) 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.

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OTC Mobile App Sunshine Health

(9 days ago) 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. 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

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Over-the-Counter Benefits

(2 days ago) Wellcare by Allwell PO Box 459089 Fort Lauderdale, FL 33345-9089. 1-877-935-8022 (TTY: 711)

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Health Insurance in Florida Sunshine Health

(5 days ago) Health care services provided in a county health department, federally qualified health center, or a rural health clinic. Services must be medically necessary and provided in a county health department, federally qualified health center, or a rural health clinic. No Community-Based Wrap-Around Services *

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Disease Management Sunshine Health

(8 days ago) 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.

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Telehealth Services

(Just Now) Telehealth is when you connect with a provider virtually. It is a way to manage your child’s health at home. It could be via a video call, a telephone call* or through an app. * Audio-only telehealth services have been approved due to federal and state telehealth …

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Pregnancy and Newborn Services Sunshine Health

(1 days ago) 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.

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New Features in the Secure Provider Portal Sunshine Health

(7 days ago) New Feature. Sunshine Health is pleased to announce, effective April 1, 2021, an exciting new tool, InterQual Connect™, will be available in our web authorization request process within our Secure Provider Portal. InterQual Connect (IQC) is an integrated medical review solution, enabling payers and providers to streamline the medical review

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EIS and TCM Billing Guide Sunshine Health

(9 days ago) This means that a provider can bill Sunshine Health for the EIS and EIS TCM services that a new member was receiving, prior to enrolling in Sunshine Health, without having a contract in place. Sunshine Health will pay the Medicaid FFS rate for these services, unless the provider was paid more. We will pay that higher amount for the first 30 days.

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Health Management Programs in Florida Ambetter from

(4 days ago) This way, you can control your condition better, understand it more and have fewer complications. We also provide behavioral health services, including depression management programs. Ambetter offers the following Health Management Programs: Call us at 1-877-687-1169 ( …

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Therapy Sunshine Health

(2 days ago) ATA-FL has been selected to continue to administer therapy services at outpatient free standing facilities for Sunshine Health’s Medicaid (MMA), Serious Mental Illness (SMI) Specialty Plan, and Child Welfare (CW) Specialty Plan members ages 3 and above enrolled in Sunshine Health as of Oct. 1, 2021.Member ages 0-2 will be managed by Sunshine Health.

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Our Health Plans

(9 days ago) Wellcare by Allwell PO Box 459089 Fort Lauderdale, FL 33345-9089. 1-877-935-8022 (TTY: 711)

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Children's Medical Services (CMS) Health Plan

(9 days ago) The DOH has partnered with Sunshine Health to provide managed care services to Children’s Medical Services Health Plan. Sunshine Health is a licensed Florida health plan. Questions? Call Member Services at 1-866-799-5321 (TTY 1-800-955-8770) 9

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Better Health Center Healthy Living Tips Ambetter from

(1 days ago) Ambetter takes our commitment to you seriously, and is honored to keep you covered during this unprecedented health situation. For more details on COVID-19, Ambetter plan coverage, Telehealth, and prescription refills, please visit our FAQs page.. The Place for Healthy Living News

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Cardiac Sunshine Health

(2 days ago) Sunshine Health is pleased to announce the launch of an innovative Surgical Quality and Safety Management program. The program is designed to collaborate with physicians to promote patient safety through high-quality and cost-effective care for Sunshine …

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National Imaging Associates (NIA) Sunshine Health

(2 days ago) Sunshine Health has contracted with National Imaging Associates Inc. (NIA), an affiliate of Magellan Health Services, for radiology and cardiac imaging benefit management.. The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization.

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Reporting Healthcare Fraud, Waste & Abuse Sunshine Health

(2 days ago) Here are the address and phone numbers: Sunshine Health. Compliance Department. P.O. Box 459089. Fort Lauderdale, FL 33345-9089. To report suspected fraud and/or abuse in Florida Medicaid, call the Consumer Complaint Hotline toll-free at 1-888-419-3456 or complete a Medicaid Fraud and Abuse Complaint Form. Or you can call Sunshine Health's WAF

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Transportation Services Sunshine Health

(4 days ago) 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. 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

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Serious Mental Illness Sunshine Health

(7 days ago) 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.

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Ambetter Select Plans

(5 days ago) All the health plans offered on the Health Insurance Marketplace include certain items or services, or Essential Health Benefits (EHBs). When you choose Ambetter, you're covered on these essential medical care and wellness services:

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New Ambetter Members Ambetter from Sunshine Health

(4 days ago) It’s your one-stop-shop for managing your Ambetter health insurance plan. Use your member account for convenient, fast online help: Access our Amber virtual assistant to find information or get quick answers to questions about your benefits. Access Ambetter Telehealth* to set up convenient video doctor visits. Send secure chats or email.

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A Billing and Procedure Coding Guide: Home Health and

(3 days ago) Home Health and Durable Medical Equipment Providers . As the healthcare industry continues to evolve, Sunshine Health remains focused on continuous quality improvement. For this reason, we have identified issues associated with medical record documentation – including billing and procedure coding – as one such area to address.

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Cenpatico Behavioral Health Moving to Provider Portal

(4 days ago) This integration allows providers to access medical and behavioral health services in one place and have a single point of contact and benefits administration. Providers needing personal assistance can call Sunshine Health: Medicaid/Healthy Kids: 866-796-0530. …

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Incentives Statement Provider Resources Sunshine Health

(9 days ago) Incentives Statement. Sunshine Health does not reward practitioners, providers, or employees who perform utilization reviews, including those of the delegated entities for issuing denials of coverage or care. UM decision making is based only on appropriateness of care, service, and existence of coverage.

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Terms & Conditions Sunshine Health

(2 days ago) 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.

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How to Enroll in Health Insurance Ambetter from Sunshine

(4 days ago) Follow these four steps to buying health insurance and choosing Ambetter for your healthcare. Enter Your Information. Enter your details (such as family size or income) online or over the phone. See if you’re eligible for financial assistance that can lower your monthly premium, and the type of plan that may fit your needs and budget.

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Ambetter Core Plans

(3 days ago) Ambetter Essential, Balanced and Secure Care Plans. Ambetter offers Essential, Balanced and Secure Care plans. Each metal level provides a balance on monthly premium payment and out-of-pocket expenses, as well as access to Ambetter's in-network providers.

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