Hurricane Idalia: Important Information for Providers

Date: 08/31/23

Fort Lauderdale, Florida

To support providers and help keep our members safe through Hurricane Idalia, Sunshine Health is implementing temporary flexibilities to our prior authorization process for Medicaid products: MMA, Child Welfare Specialty Plan (CWSP), Serious Mental Illness (SMI), Children’s Medical Services Health Plan (CMS) and Long Term Care (LTC).

Early prescription refill edits have been lifted for all maintenance medications (Note: This does not apply to controlled substances).

Additionally, if a recipient requires critical Medicaid services beyond limits stated in policy to maintain safety and health, providers can furnish the service.

All Preadmission Screening and Resident Review (PASRR) processes are postponed until further notice by the Agency.

• Retroactively performed screenings or resident reviews must document the reason for delay in the completion of PASRR requirements.
• The Agency is waiving the PASRR process for recipients who evacuated due to an evacuation order or power outage and are admitted and discharged during the storm.

Additional information for providers is located on the Agency’s website. Click the Hurricane banner at the top of the page for more information.

Thank you for serving our members every day, and especially during this time.

^SH_6677