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Behavioral Analysis (BA) Providers Should Continue to Serve Members

Date: 06/02/25

Behavioral Analysis (BA) contracted providers undergoing the credentialing process that meet all regulatory and professional standards should continue delivering all medically necessary services that were authorized, regardless of how their network status currently appears in the plan system.

Sunshine Health will continue to process claims for these products in accordance with applicable guidelines and policies:

  • Sunshine Health Medicaid (MMA)
  • Sunshine Health Pathway to Shine Child Welfare Specialty Plan (CWSP)
  • Sunshine Health Mindful Pathways Serious Mental Illness Specialty Plan (SMI)
  • Sunshine Health Power to Thrive HIV/AIDS Specialty Plan (HIV)
  • Children’s Medical Services (CMS) Health Plan Title 19 and Title 21

While claim payment is subject to standard billing and claims processing requirements, contracted providers can be assured that the credentialing process will not disrupt claims reimbursement.

Questions?

Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:

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