Does Sunshine Health Require Referrals

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Referral and Authorization Information - Ambetter from Sunshine …

(9 days ago) The following are services that may require a referral from your PCP: Specialist services, including standing or ongoing referrals to a specific provider. Diagnostic tests (X-ray and lab) High tech imaging (CT scans, MRIs, PET scans, etc.)*. Planned inpatient admission*. Clinic services. Renal dialysis (kidney disease)*. See more

https://ambetter.sunshinehealth.com/resources/handbooks-forms/referral-authorization.html

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Florida Medicaid Pre-Authorization Sunshine Health

(9 days ago) WEBOur 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 …

https://www.sunshinehealth.com/providers/preauth-check.html

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Health Insurance Marketplace Benefits Ambetter from Sunshine …

(4 days ago) WEBOur 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 …

https://ambetter.sunshinehealth.com/benefits

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Pre-Auth Tool Ambetter from Sunshine Health

(6 days ago) WEBBehavioral Health/Substance Abuse need to be verified by Sunshine Health. Oncology Biopharmacy, Radiation Oncology drugs, and administration of Radiation Oncology …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/pre-auth.html

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Florida Healthcare Plans Ambetter from Sunshine Health

(9 days ago) WEBThese plans require referrals for most care outside of what the PCP can provide, such as seeing a specialist. Ambetter Value Plans are available in select counties in Florida and …

https://ambetter.sunshinehealth.com/content/ambetter-fl/en_us/health-plans.html

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Primary Care Sunshine Health

(3 days ago) WEBYou can change your child’s PCP at any time. To change your child’s PCP, call Member Services at 1-855-463-4100. Call your PCP office to schedule a visit, even if your child …

https://www.sunshinehealth.com/members/child-welfare-plan/benefits-services/primary-care.html

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Authorization to Use and Disclose Health Information - Wellcare

(9 days ago) WEBa. Authorization to Use and Disclose Health Information. Notice to Member: Completing this form will allow Sunshine Health to (i) use your health information for a particular …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2020-FL-PHI%20FORM-ALL-MA.pdf

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Secure Provider Website - Sunshine Health

(9 days ago) WEBCare plans are created by the health plan’s case manager to help manage the health.of the patient The Authorizations tab of the patient record allows you to view current …

https://provider.sunshinehealth.com/static/provider/docs/Secure_Provider_Website_Manual_NOV2017.pdf

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Referral Authorization Forms Ambetter from Coordinated Care

(6 days ago) WEBIf you need care that your PCP cannot provide, he/she can recommend a specialist provider. Paper referrals are not required. The following are services that may require …

https://ambetter.coordinatedcarehealth.com/resources/handbooks-forms/referral-authorization.html

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Member FAQ - Wellcare

(Just Now) WEBYour plan does not require a referral to see specialists, but please keep in mind that some specialists may request one. If you would like assistance in confirming if …

https://wellcare.sunshinehealth.com/member-resources/new-members/member-faq.html

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Allwell from Sunshine Health HMO D-SNP Plans

(8 days ago) WEBIf you have further questions please call our Member Services Department at 1-877-935-8022. From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2020-FL-DIR-DSNP-INFO-MA.pdf

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Referrals - Simply Healthcare Plans

(9 days ago) WEBStatewide Medicaid Managed Care Managed Medical Assistance Directory - Southwest. Florida Healthy Kids (FHK) Referral Directory — North. Florida Healthy Kids (FHK) …

https://provider.simplyhealthcareplans.com/florida-provider/referrals

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Referral Authorization Form Ambetter from Peach State Health Plan

(6 days ago) WEBPrior Authorization for Services. Sometimes, we need to approve medical services before you receive them. This process is known as prior authorization. Prior authorization …

https://ambetter.pshpgeorgia.com/resources/handbooks-forms/referral-authorization.html

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