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Cenpatico Behavioral Health Moving to Sunshine Health Provider Portal

Date: 03/14/18

Sunrise, Florida

Provider Announcement: Starting on March 29, behavioral health information previously found on the Cenpatico website will move to the Sunshine Health provider portal.

Providers who previously accessed the Behavioral Health secure portal through Cenpatico must create a new account on Sunshine Health's provider portal. Providers will not be able to create this new account until March 29, 2018. If providers already have an account at Sunshine Health's provider portal, they do not need to register again and will see behavioral health information in their account starting March 29, 2018.

When creating a new account on Sunshine Health's provider portal, providers should follow the general guidelines below:

  1. Practice Account Manager creates an account request.
  2. After Account Manager is granted access, all others can request access.
  3. Account Manager reviews and approves access for others.

Detailed instructions for creating an account can be found here. Through the Sunshine Health secure provider portal, providers can:

  • Check member eligibility
  • Submit and manage claims
  • Submit and view prior authorizations
  • Review and download payment history
  • View member gaps in care
  • Send secure messages to Sunshine Health
  • Manage multiple accounts

The transition of behavioral health functions from Cenpatico, a subsidiary of Envolve PeopleCare, to Sunshine Health applies to all Sunshine Health products including Medicaid, Child Welfare Specialty Program, Long Term Care, Medicare Advantage and Ambetter from Sunshine Health.

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

Child Welfare: 855-463-4100

Ambetter: 877-687-1169

Allwell Medicare HMO and HMO SNP: 877-935-8022

Providers who are unable to access the web portal for Behavioral Health can fax outpatient prior authorization requests to 1-844-208-9113.