Sunshine Health Medicaid Guidelines Florida

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Florida Medicaid Options & Plans Sunshine Health

(3 days ago) People also askDoes Sunshine Health offer Medicaid?Sunshine Health is approved by AHCA to administer MMA, Comprehensive and Child Welfare Specialty Plan in all regions of the state. Medicaid recipients who qualify and become enrolled in the Florida MMA program receive all healthcare services, including LTC services through their selected Medicaid health plan.Sunshine Health Provider Manualsunshinehealth.comWhat guidelines does Sunshine Health follow?Whenever possible, Sunshine Health adopts preventive and clinical practice guidelines that are published by nationally recognized organizations or government institutions as well as state-wide collaborative and/or a consensus of healthcare professionals in the applicable field.Practice Guidelines Florida Medicaid Sunshine Healthsunshinehealth.comDoes Sunshine Health offer a children's medical services health plan?Sunshine Health also operates the Children's Medical Services Health Plan on behalf of the Florida Department of Health for children and adolescents with special healthcare needs. Sunshine Health is a wholly owned subsidiary of Centene Corporation , a leading healthcare enterprise that is committed to helping people live healthier lives.Cityblock and Sunshine Health Announce Partnership to Deliver Compr…finance.yahoo.comWhat are Sunshine health provider services hours?In addition, Sunshine Health staff is available Monday through Friday from 8 a.m. to 8 p.m. Eastern to answer provider questions and respond to provider complaints, emergencies and notifications. After regular business hours, the provider services line is answered by an automated system.Sunshine Health Provider Manualsunshinehealth.comFeedbackSunshine Healthhttps://www.sunshinehealth.com/providers/qualityPractice Guidelines Florida Medicaid Sunshine HealthWebPreventive and clinical practice guidelines are based on the health needs and opportunities for improvement identified as part of the Quality Assurance Program Improvement (QAPI) program. Whenever possible, Sunshine Health adopts preventive …

https://www.sunshinehealth.com/members/medicaid.html#:~:text=To%20get%20started%3A%201%20Create%20an%20online%20account,of%20Pregnancy%20form%20.%204%20Choose%20a%20provider

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Florida Medicaid Options & Plans Sunshine Health

(2 days ago) WebChoose or change your provider in your private, online account. 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, …

https://www.sunshinehealth.com/members/medicaid.html

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Sunshine Health Provider Manual

(6 days ago) WebSunshine Health MMA, SMI, LTC and CWSP Provider Manual 1 © 2024 Sunshine Health SH_7578SH _7578 Medicaid (MMA), Comprehensive Long Term Care (LTC),

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Provider%20Manual.pdf

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How to Apply for Medicaid in Florida Sunshine Health

(8 days ago) WebSunshine Health understands that mental health is key to overall health. Mental health issues affect 1 in 6 adults in Florida. Our Serious Mental Illness Speciality Plan (SMI) …

https://www.sunshinehealth.com/content/sunshine-new/en_us/members/smi/how-to-enroll.html

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Clinical & Payment Policies Provider Resources - Sunshine Health

(4 days ago) WebClinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. Sunshine Health utilizes …

https://www.sunshinehealth.com/providers/utilization-management/clinical-payment-policies.html

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Telemedicine Sunshine Health

(1 days ago) WebSunshine Health Medicaid and Children’s Medical Services (CMS) Health Plans: All other Florida Medicaid and Medicare documentation guidelines apply to services rendered via telemedicine. Examples …

https://www.sunshinehealth.com/providers/telemedicine-for-medicaid.html

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Clinical Practice and Preventive Health Guidelines

(7 days ago) WebAll children enrolled in a Florida Medicaid health plan are required to have at least one blood lead screening before 2 years of age. These guidelines were …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/practice-guidelines.html

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Medicaid State Plan Under Title XIX of the Social Security Act …

(5 days ago) WebFlorida's Medicaid State Plan (the Plan) is a comprehensive written statement describing the scope and nature of the Medicaid program. The Plan outlines …

https://ahca.myflorida.com/medicaid/medicaid-state-plan-under-title-xix-of-the-social-security-act-medical-assistance-program

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2022 Summary of Benefits - Wellcare

(7 days ago) WebThis is a summary of drug and health services covered by Wellcare Dual Nurture (HMO D-SNP) from January 1, 2022 to December 31, 2022. This booklet will provide you with a …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2022-FL-SB-H5190-006-MA.pdf

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WebCounty Health Department Billing Codes: Updated Billing Code [ 109.9 kB ] 2024 Promulgated Billing Code [ 109.7 kB ] 2023: Federally Qualified Health Center Billing …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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Medicaid Well Child Visits Florida Agency for Health Care …

(4 days ago) WebCall your child's doctor today to schedule an appointment. For more information on well-child visits (Child Health Check-Up Visits) call your health plan, County Health Department, …

https://ahca.myflorida.com/medicaid/child-health-services/medicaid-well-child-visits

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Florida Medicaid Benefits.gov

(7 days ago) WebThe Florida Medicaid Program provides free or low-cost health coverage to eligible needy persons. Determine your eligibility for this benefit Always check with the appropriate …

https://www.benefits.gov/benefit/1625

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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WebAmbetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687-1169 (Relay Florida 1-800 …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.pdf

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Durable Medical Equipment (DME) and Medical Supplies Florida …

(3 days ago) WebMedicaid reimburses for durable medical equipment (DME) and medical supplies appropriate for use in the recipient’s home. DME may be rented, purchased or rented-to …

https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/specialized-health-services/durable-medical-equipment-dme-and-medical-supplies

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Florida Clinical Payment Policies Ambetter from Sunshine Health

(5 days ago) WebClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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Medicaid Redetermination Florida DCF

(7 days ago) WebThe Florida Medicaid Redetermination Plan Objectives: Ensure continuity of Medicaid coverage for eligible individuals while promoting access to alternative health coverage …

https://www.myflfamilies.com/medicaid

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Florida State Medicaid Managed Care - Home Page

(4 days ago) WebStatewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. There are three different programs that …

https://flmedicaidmanagedcare.com/

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Affordable Health Insurance in Florida Ambetter from Sunshine …

(6 days ago) WebAmbetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is …

https://ambetter.sunshinehealth.com/

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Cityblock, Sunshine Health Partner to Deliver Care to Florida …

(5 days ago) WebCityblock and Sunshine Health partner to provide primary care services to Sunshine Health Partner to Deliver Care to Florida Medicaid Members in Central …

https://hitconsultant.net/2024/05/21/cityblock-sunshine-health-partnership/

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Ambetter from Sunshine Health Review - HealthCareInsider.com

(3 days ago) WebSunshine Health, which has been serving Florida since 2007, also offers Medicare and Medicaid coverage. It has more than 1 million members statewide. 1. …

https://healthcareinsider.com/ambetter-from-sunshine-health-review-385439

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Cityblock partners with Centene again—this time in Florida

(5 days ago) WebMedicaid value-based care provider Cityblock has joined forces with Centene subsidiary Sunshine Health in central Florida. The partnership, which will provide …

https://www.fiercehealthcare.com/payers/cityblock-partners-centene-again-time-florida

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Cityblock and Sunshine Health Announce Partnership to Deliver

(5 days ago) WebBROOKLYN, N.Y. and FORT LAUDERDALE, Fla., May 21, 2024 /PRNewswire/ -- Cityblock, a value-based healthcare provider for adult Medicaid beneficiaries, …

https://www.prnewswire.com/news-releases/cityblock-and-sunshine-health-announce-partnership-to-deliver-comprehensive-care-to-medicaid-members-in-central-florida-302150592.html

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Cityblock and Sunshine Health Announce Partnership to Deliver

(2 days ago) WebCityblock, a value-based healthcare provider for adult Medicaid beneficiaries, announced today a partnership with Sunshine Health, a leading Florida managed care …

https://finance.yahoo.com/news/cityblock-sunshine-health-announce-partnership-120000139.html

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Biden administration seeks dismissal of a Florida - Health News …

(4 days ago) WebIn Florida, that has meant families have paid $15 or $20 a month for coverage. Florida filed the lawsuit in February, challenging guidelines issued by the federal …

https://health.wusf.usf.edu/health-news-florida/2024-05-16/biden-administration-seeks-dismissal-of-a-florida-challenge-over-chip-rules

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The Biden administration wants a judge to dismiss Florida's …

(2 days ago) WebFlorida has challenged federal guidelines for the CHIP/KidCare program of subsidized health insurance for tens of thousands of children. The program provides …

https://www.wmnf.org/biden-administration-judge-dismiss-florida-challenge-childrens-health-insurance-guidelines/

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Addressing Florida's infant mortality rate and barriers to health …

(6 days ago) Web529904983. Florida's infant mortality rate has remained nearly stagnant for about a decade. In that time, the rate of births to mothers with no prenatal care has risen, …

https://www.wusf.org/health-news-florida/2024-05-20/florida-infant-mortality-rate-barriers-health-care-prenatal-care

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