Sunshine Health Cms Provider Search

Provider Services CMS_ 4585 CMS Skilled Nursing Facility Provider Quick Reference Guide Important Contact Information Service Name Product Phone Number Hours of operation Provider Services All products 1-844-477-8313 Monday-Friday from 8 am. A federal government website managed and paid for by the US Centers for Medicare Medicaid Services.

Member Handbook Sunshine Health

In the weeks before Oct.

Sunshine health cms provider search. Ambetter from Sunshine Health 1301 International Parkway Suite 400 Sunrise FL 33323 1-877-687-1169 Relay. Ambulatory Surgical Centers ASC Ambulance Services. Click on your network below to start a search.

Florida Medical Practice Plan Inc. If a practitionerprovider already participates with Sunshine Health in the Medicaid or a Medicare product the practitionerprovider will NOT be separately credentialed for the Ambetter product. You do not need to do anything.

In general Sunshine Health follows the CMS Centers for Medicare Medicaid Services billing requirements. CMS Health Plan Members. It is important that providers ensure Sunshine Health has accurate billing information on file.

Get to Know Your OTC Benefit. Sunshine Health offers electronic provider directories based on your plan. Before you go the dentist check out your Summary of Benefits to make sure dental services are included with your plan.

Providers do not need to resubmit claims. Johns Hopkins All Childrens Hospital. Eastern Pharmacy Services.

For questions regarding billing requirements contact a Sunshine Health Provider Services Representative at 1-866-796-0530. Home health and infusion services need to be authorized by Sunshine Health. We thank you for letting us serve you and your child.

The CMS Health Plan is for children who. Please call CMS Health Plan Member Services at 1-866-799-5321 TTY 1-800-955-8770. Some providers may not perform certain services based on religious or moral beliefs.

For questions about registration and other technical assistance contact the CMS Open Payments Help Desk at 1-855-326-8366 or openpaymentscmshhsgov. ET excluding Federal holidays. Join Ambetter show Join Ambetter menu.

Limitations co-payments and restrictions may apply. Find food health housing job training programs and more anywhere. See our about page for more information.

Use the Find A Doctor Tool to search for in-network Medicare doctors hospitals pharmacies and other providers. To enroll with Childrens Medical Services Health Plan you must be eligible for Florida Medicaid. Florida State University FSU.

How to Enroll in a Plan. You can call Medicaid Choice Counseling toll-free at 1-877-711-3662 TTY 1-866-467-4970 Monday-Thursday 8 am-8 pm and Friday 8 am-7 pm. Consider choosing a doctor or provider thats in-network.

Are under age 21 and eligible for Medicaid and. You can check to see if your dentist is in the network or find a dentist close to you by accessing the provider toolIf you choose to use a dentist that. Allwell Medicare Advantage from Sunshine Health.

The datasets are large and the search tool searches millions of records. 1 2021 Sunshine Health requires hospital providers to use inpatient type of bill code 0112 interim when billing first-time claims for interim inpatient stays that exceed 100 consecutive days. Durable Medical Equipment DME Federally Qualified Health Centers FQHC Home Health Agency HHA.

Any prior underpayments will be reprocessed automatically. The benefit information provided is a brief summary not a complete description of benefits. 1 2021 in our archive.

DMEhome infusion form PDF DME services need to be authorized by Coastal Care Services. This is one of the money-saving benefits of Medicare. Using your Dental benefits is easy.

Child Welfare Provider Search. 1 2021 your child will receive a new Member ID card in the mail. Youll get the drugstore items you.

Your Member Services phone number will remain the same. Physical Therapy Speech Therapy and Occupational therapy services need to be authorized by eviCore. 1 2021 Sunshine Health will operate Childrens Medical Services Health Plan.

Four easy steps is all it takes. You can also visit the SMMC website. 7500 Security Boulevard Baltimore MD 21244.

This will help keep your healthcare costs affordable. Find and enroll in a plan thats right for you. A doctor is a trusted partner and is key to getting the care you need when you need it.

Sunshine Health is a licensed Florida health plan. Our health plans are getting a new look name. The Help Desk is available Monday through Friday from 830 am.

View essential health benefits. The need for preventive and ongoing care could mean working with several different providers at once. You can access documents and plan information for dates of service prior to Oct.

Have special healthcare needs that require extensive preventive and ongoing care. The same great benefits and coverage you expect with a fresh new feel. The following essential providers are part of Sunshine Healths network and are available to all members.

The Open Payments Search Tool is used to search payments made by drug and medical device companies to physicians and teaching hospitals. Enroll in a Plan. Open Payments data is from January 2014 through December 31 2020.

Sunshine Health is a managed care plan with a Florida Medicaid contract. In Region 1 only behavioral health services are authorized by Access. Make an appointment with an in-network dentist.

Your Wellcare By Allwell plan includes an over-the-counter OTC benefit that gives you money to purchase everyday personal care and wellness products like vitamins bandages and toothpaste without having to leave your home. Long Term Care Provider Search.

Wellcare Integration Sunshine Health