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Stay Connected on the Go! Download our Health Insurance Portal mobile app to search for care, view benefits and access your Member ID card. LEARN MORE AND DOWNLOAD THE APP

Cardiology Prior Authorization Process Change for CMS Health Plan Members

Date: 12/29/25

We value our partnership with you and appreciate your ongoing commitment to providing quality care to our members.

Effective March 1, 2026, Sunshine Health will administer prior authorizations for cardiology services for Children’s Medical Services (CMS) Health Plan members. These services were previously provided by TurningPoint.

Authorization approvals issued by TurningPoint prior to March 1, 2026, will remain effective through their current end dates. Beginning March 1, 2026, please submit prior authorization requests to Sunshine Health via the Secure Provider Portal.

Providers not currently contracted with Sunshine Health who wish to provide cardiology services can submit a request to Join Our Network. Sunshine Health will contact you regarding participation after you provide the requested information.

If you have any questions, please call Sunshine Health Provider Services at 1-844-477-8313 or visit the Secure Provider Portal. Our Provider Engagement staff can also answer questions. Visit the Find Your Account Manager tool to find who supports your specialty and region.

For any questions regarding authorizations prior to March 1, 2026, please contact TurningPoint.

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