Sunshine Health Authorization Request

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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 staff are available 24/7 for after-hour calls. Find out if you need a Medicaid pre-authorization with Sunshine Health's easy pre-authorization check.

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

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Prior Authorization Sunshine Health

(2 days ago) WEBThe number is 1-866-796-0530. Some covered services require a prior authorization from Sunshine Health before the service is provided. The list of services that need a prior authorization can include an admission to the hospital after your emergency condition has improved, power wheelchairs, home health visits, MRI X-rays, hospice care, genetic

https://www.sunshinehealth.com/members/LongTermCare/MemberResources/prior-authorization.html

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OUTPATIENT AUTHORIZATION FORM (FLORIDA) - Sunshine …

(6 days ago) WEBExisting Authorization. Standard requests - Determination within 7 calendar days of receipt of request. Units. Complete and Fax to: 866-796-0526 Buy & Bill Drug Requests Fax to: 833-823-0001 Transplant Request Fax to: 833-550-1338 DME/HH (LTC only) Fax to: …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/SH-PRO-UM-Outpatient%20Auth.pdf

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Prior Authorization Request Form - Sunshine Health

(7 days ago) WEBinformation is available for review if requested by the health plan sponsor, or, if applicable, a state or federal regulatory agency. I understand that any person who knowingly makes or causes a false record or statement that is material to a claim ultimately paid by the United States government or any state government may be subject to civil

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Prior%20Authorization%20Form_Sunshine_General_v2.pdf

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OUTPATIENT AUTHORIZATION FORM - Sunshine Health

(7 days ago) WEBHH Fax to: 866-534-5978. Standard requests - Determination within 7 calendar days of receipt of request. 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

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/CMS-PRO-UM-Outpatient%20Auth.pdf

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CMS Pre-Auth Form Sunshine Health

(2 days ago) WEBHome Health (Infusion) services need to be verified by Sunshine Health. DME/home infusion form (PDF) MMA, SMI, and Child Welfare Therapy requests (PT, OT, ST) at Outpatient free standing facilities are managed through HN1. HN1 does not manage members aged 0-2, PPEC, EIS, or Outpatient hospital. HN1 can be reached at 1-888 …

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

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Referral and Authorization Information - Ambetter …

(9 days ago) WEBPrior authorization means that we have pre-approved a medical service. To see if a service requires authorization, check with your Primary Care Provider (PCP), the ordering provider or Member Services. When we …

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

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Medication Prior Authorization Request Form - Sunshine Health

(2 days ago) WEBYES (Buy and Bill Medication Request) Complete this form and fax to. (866) 351-7388. For questions, call (866) 796-0530, ext. 41919. NO (Non-Specialty Medication Request) NOT. Use this form. Complete the Prior Authorization Form -Non Specialty Medication form on the Sunshine Health web-site (Click Here) and fax to. (866) 399-0929.

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Prior%20Authorization%20Form_Sunshine_Specialty-MMACW.pdf

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Outpatient Authorization Form - Ambetter from Sunshine …

(8 days ago) WEBComplete and Fax to: 855-678-6981 Transplant Request Fax to: 833-550-1337. Request for additional units. Existing Authorization. Units. Standard requests - Determination within 15 calendar days of receiving all necessary information. I certify this request is urgent and medically necessary to treat an injury, illness or condition (not life

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_EF-PAF-0699_Outpatient_10292020.pdf

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Pre-Auth Tool Ambetter from Sunshine Health

(6 days ago) WEBPost-acute facility (SNF, IRF, and LTAC) prior authorizations need to be verified by CareCentrix ; Fax 877-250-5290. Services provided by Out-of-Network providers are not covered by the plan. Join Our Network.

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

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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WEBMailing Address - Allwell from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323; HMO SNP MEMBERS. You may request prior authorization by contacting Member Services. We recommend that providers submit prior authorizations through the web portal, via phone or via fax.

https://wellcare.sunshinehealth.com/member-resources/member-rights/prior-authorization-medical.html

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Provider Quick Reference Guide - Centene

(Just Now) WEBRequest Prior Authorization (PA) Contact the Sunshine Health Provider Services Department, 8 am to 7 pm EST/EDT, Mon-Fri, at phone 866-796-0530 or fax 866-614-4955 for assistance with the following services: Questions about claim/credentialing/network status Request for adding physicians to an existing group Request a free copy of our …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/Provider-Quick-Reference-Guide-PDF1.pdf

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eAUTH Emergent Inpatient/Outpatient Authorization Request

(2 days ago) WEBINFORMATION/HEALTH INFORMATION” 1-866-796-0530 . TDD/TTY 1-800-955-8770 . SunshineHealth.com . The authorization search will display the status and confirmation number for the prior authorization request. Sunshine Health Florida Medicaid and Health Insurance Website

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/eAUTH%20QRG%20FINAL%20(003).pdf

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Inpatient Authorization Form - Ambetter from Sunshine Health

(7 days ago) WEBAUTHORIZATION FORM. Standard requests - Determination within 15 calendar days of receiving all necessary information. I certify this request is urgent and medically necessary to treat an injury, illness or condition (not Urgent requests - life threatening) within 72 hours to avoid complications and unnecessary sufering or severe pain.

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_EF-PAF-0698_Inpatient_10222020.pdf

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Provider Resources - Ambetter from Sunshine Health

(7 days ago) WEBIf you need help, call Provider Services at 1-877-687-1169 (Relay Florida 1-800-955-8770) Monday through Friday from 8 a.m. to 8 p.m. Eastern. Stay up to date on Ambetter from Sunshine Health provider notices by reviewing and bookmarking Provider News.

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms.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 purpose, and/or (ii) share your health information with the individual or entity that you identify on this form. You do not have to sign this form or give permission to

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

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Medication Prior Authorization Request Form - Ambetter …

(Just Now) WEBMedication Prior Authorization Request Form. 1-844-477-8313. Provider Services. Ambetter.SunshineHealth.com. AMB_ 3171. Type of Request: Today’s Date: I. Ambetter From Sunshine Health Website . Title: Medication Prior Authorization Request Form Author: Ambetter Subject: Medication Authorization

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_Prior-Authorization-Form_Specialty-Ambetter.pdf

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Prior Authorization, Step Therapy & Quantity Limitations - Wellcare

(4 days ago) WEBQuantity Limits: For certain drugs, we limit the amount of the drug that we will cover. For example, one tablet per day. This may be in addition to a standard one-month or three-month supply. Prior Authorization Criteria: Prior Authorization Criteria - (PDF) - last updated. Prior Authorization/Coverage Determination Page.

https://wellcare.sunshinehealth.com/drug-pharmacy/prior-authorization.html

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Request for Access and Authorization for Use and/or …

(8 days ago) WEBRequest for Access and Authorization for Use and/or Disclosure of Protected Health Information I understand that the protected health information specified below may include mental health, substance abuse (e.g., drugs, alcohol), HIV/AIDS status information, diagnostic and treatment records. I have read and understand the following statements: 1.

https://www.adventhealth.com/sites/default/files/assets/18-IMAGING-01573%20FRi%20Patient%20Authorization%20Form-F1.pdf

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Sunshine Health Works Sunshine Health

(6 days ago) WEBFort Lauderdale, Florida. The Sunshine Health Works program pioneers a transformative approach to combat healthcare labor shortages across Florida. By forging strategic alliances with regional colleges, healthcare providers, and community partners, we empower our members and communities to unlock opportunities in vital healthcare sectors.

https://www.sunshinehealth.com/newsroom/sunshine-health-works.html

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Request for Access and Authorization for Use and/or …

(7 days ago) WEBOffice of Civil Rights ~ U S Department of Health & Human Services 61 Forsyth Street, SW. Suite 3B70 Atlanta, GA 30323 ~ Phone# 404-562-7886; 404-331-2867 ~ Fax# 404-562-7881 . Request for Access and Authorization for Use and/or Disclosure of Protected Health Information

https://www.adventhealth.com/sites/default/files/assets/TAM_FH-Records-Request-Form.pdf

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Find a Healthcare Provider - Ambetter Health

(3 days ago) WEBSearch without logging in. Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a …

https://guide.ambetterhealth.com/

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UHSM Provider Support Hub

(7 days ago) WEBIf you require any help with the form, need status of your request, or are unable to determine if a procedure requires preauthorization please contact us at (757) 210-3435. Prior Authorizations are for professional and institutional services only. All oral medication requests must go through members’ pharmacy benefits.

https://www.uhsm.com/uhsm-provider-support-hub/

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FEDERAL REGISTER - GovInfo

(3 days ago) WEBAuthorization Request Form/Certification/Letter of Medical Necessity, 46910–46911 Authorization Request Forms, 46912–46913 Claim for Medical Reimbursement, 46909–46910 Mine Safety and Health Administration Grant Performance Reports, 46912

https://www.govinfo.gov/content/pkg/FR-2024-05-30/pdf/FR-2024-05-30-FrontMatter.pdf

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