Request 6-month authorizations for Private Duty Nursing (PDN) and Home Health Agency (HHA) Services

Date: 05/23/23

Fort Lauderdale, Florida

Sunshine Health thanks you for everything you do for your patients, our members. Here’s a new policy that will help make it easier for our partners to help those who need it.

Private Duty Nursing (PDN) and Home Health Agency (HHA) providers can request authorization for their services for up to 6 months.

This guidance applies to all Ambetter (Marketplace), Medicare (Wellcare) and all Medicaid products, including MMA, Child Welfare Specialty Plan (CWSP), Serious Mental Illness (SMI), Children’s Medical Services (CMS) Health Plan and Long Term Care (LTC).

To obtain authorization for PDN and HHA services, request it via the Secure Provider Portal or contact your Provider Engagement Administrator (list the county of your organization’s main office.)

If you have questions, please call Sunshine Health Provider Services at 1-844-477-8313. Stay up to date on Sunshine Health provider notices by reviewing and bookmarking Provider News.

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