Processes for submitting additions, updates and terminations
Date: 01/10/22
Fort Lauderdale, Florida
As part of our recent integration with Staywell Health Plan and Children’s Medical Services Health Plan, we would like to remind all providers of Sunshine Health’s processes below when submitting additions, updates and terminations.
Please feel free to share this helpful information with other members of your group or practice.
Adding Providers to Existing Group or Practice
A contracted medical or behavioral health practice that would like to add a practitioner should email all relevant documentation to practitioneradds@centene.com and include the following:
- LOAP/Practitioner Roster (for additions only)
- Disclosure of Ownership Form
- Access our LOAP (roster) template to utilize as a guide when submitting these types of requests.
The Practitioner Adds Mailbox is equipped with an Auto Response Email to alert the submitter that their request has been received.
Demographic Updates and Changes
A contracted medical or behavioral health practice that would like to update or make any changes to their demographic information should direct their request to SunshineProviderRelations@sunshinehealth.com.
Please include all detailed information to assist in making the appropriate changes. Providers can also initiate changes like this by visiting our secure Sunshine Health web Provider Portal. These changes can be made by selecting “Modify Demographic Information about a specific TIN”.
Providers can also submit their request via the Contact form.
Provider Termination Requests
Providers should refer to their Sunshine Health contracts for specific information about terminating their contracts with Sunshine Health.
In general, though, providers are required to notify the health plan within 90 days of terminating a provider or providers from a group or contract. Providers who want to terminate an individual practitioner within a practice or group should:
- Provide the termination information on office letterhead and include the practitioner’s name, tax identification number, NPI, termination date and membership transfer information, if applicable and;
- Email the request to SunshineProviderRelations@sunshinehealth.com and notify your Provider Relations Representative
To learn more, please visit our Provider Manuals. If you have any questions, please contact Sunshine Health Provider Services at 1-844-477-8313, Monday through Friday from 8 a.m. to 8 p.m. Eastern.