News

ATTENTION: Updated Prior Authorization List for Medicaid and Child Welfare

Date: 04/01/16

What: Sunshine Health is updating its Medicaid and Child Welfare Prior Authorization List

When: Effective May 1, 2016

Highlights of the Update:

  • Added Fetal MRI managed through NIA
  • Removed Global OB authorization for participating providers

Where: To view complete details, click here.

What list shall I use until April 30, 2016? Please continue to use the list available here.

Payment Policies:

This is also a reminder that Sunshine Health publishes payment policies on the Sunshine Health website. These policies define separate payment criteria for specific services that are used by Sunshine Health in making payment decisions and administering benefits. The payment policies are published at http://www.sunshinehealth.com/tango-provider-resources/provider-resources/.