Screening, Brief Intervention, and Referral to Treatment (SBIRT) Incentive to Help Pregnant Members
Date: 08/11/26
Sunshine Health reminds providers that the SBIRT Incentive rewards them for helping deliver the best possible healthcare to our pregnant members.
Providers who complete an SBIRT assessment within each pregnant member's first trimester are eligible for an additional $50 reimbursement per member.
SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for individuals with substance use disorders and those at risk of developing such disorders.
Learn More About the SBIRT Incentive
Who is Eligible for this Incentive?
- Primary care physicians (PCPs), including MDs and Dos
- Advanced practice nurses (APRNs)
- Physician assistants (PAs)
- Midwives
- Obstetrician-gynecologists (OB/GYNs)
This Guidance Applies to These Products
- Sunshine Health Medicaid (MMA)
- Sunshine Health Pathway to Shine Child Welfare Specialty Plan (CWSP)
- Sunshine Health Mindful Pathways Serious Mental Illness Specialty Plan (SMI)
- Sunshine Health Power to Thrive HIV/AIDS Specialty Plan (HIV)
Questions?
Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Support: Finding the Right Contact
- Provider Services: Call 1-844-477-8313
- Secure Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Claim Concerns: Resolve outstanding claims using the Claim Concerns form.
- Provider News: Bookmark Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Manuals, Forms and Resources to find provider manuals, important forms, scheduling standards and other resources.
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