Skip to Main Content

Secure Provider Portal Update

Date: 05/02/22

Fort Lauderdale, Florida

Thank you for your partnership with Sunshine Health and Children’s Medical Services (CMS) Health Plan. We want to share important information about entering prior authorizations through our Secure Provider Portal:

  • You are now able to enter authorization requests for DME, Physical Therapy, Occupational Therapy and Speech Therapy via the Secure Provider Portal by choosing “Outpatient Medical” as the service type.
  • “DME” and “PT, OT, ST” service type dropdowns have been removed and are no longer needed for Sunshine Health or CMS Health Plan.
  • Please note, this does not change the authorization guidelines for our vendor reviewed authorizations. Evicore, HN1 and Coastal Care will still review requests for the members and health plans they serve.

Please see the following helpful references for authorization guidelines:

  • Utilize our Pre-Auth Check Tool to determine auth requirements for the services you are requesting.
  • Visit our Integration page to review an extensive guide for vendor Frequently Asked Questions. Scroll to the bottom of the page to find the FAQ.
  • Our Vendors page lists all contracted vendors, services, delegated functions and more information.  

For questions or concerns, please contact Sunshine Health Provider Services at 1-844-477-8313. Stay up to date on providers notices by reviewing and bookmarking Provider News.

SH_4606