Behavior Analysis Value Based Program Update
Date: 10/24/25
Sunshine Health is revamping our approach to incentivizing Behavior Analysis (BA) providers for delivering high-quality care. Based on provider feedback, we are retiring our current BA Value Based Program (VBP) and developing a new incentive model that aligns with best practices and clinical guidelines.
The purpose of this redesign is to create an incentive structure that rewards providers who follow clinical practice guidelines that tailor care to each child’s unique needs. The new model will also recognize providers who appropriately titrate services based on a child’s age and developmental progress and who consistently deliver care that aligns with best practices and meets state standards.
Sunshine Health will honor all Q3 2025 incentive payments under the current program.
We welcome your input as we shape the next phase of this program. If you have ideas on how we can best collaborate to meet these goals, please email our Chief Operating Officer, Bill Kruegel, at coo@SunshineHealth.com. Make sure to use the subject line: BA Incentive Idea.
Questions?
Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Support: Finding the Right Contact
- Provider Services: Call 1-844-477-8313
- Secure Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Claim Concerns: Resolve outstanding claims using the Claim Concerns form.
- Provider News: Bookmark Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- BA QRG: Visit BA Reference Guide.
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