Skip to Main Content
Stay Connected on the Go! Download our Health Insurance Portal mobile app to search for care, view benefits and access your Member ID card. LEARN MORE AND DOWNLOAD THE APP
Stay Connected on the Go! Download our Health Insurance Portal mobile app to search for care, view benefits and access your Member ID card. LEARN MORE AND DOWNLOAD THE APP

Sunshine Health Will Continue Telehealth Coverage for Targeted Case Management (TCM)

Date: 03/05/26

Sunshine Health will continue to cover Targeted Case Management (TCM) (code T1017) services delivered via telehealth.

The health plan previously announced that it would no longer cover telehealth delivery of TCM services as of March 9, but those plans are now on hold. All claims will be processed as usual. 

Sunshine Health Targeted Case Management (TCM) services provides case management to adults with a serious mental illness and children with a serious emotional disturbance to assist them in gaining access to needed medical, social, educational, and other services. There have been no changes to the delivery of these services in-person.

TCM Resources

Telehealth Resources

 

Published: 02/06/26

Telehealth Coverage for Targeted Case Management (TCM) Ends March 9

Sunshine Health aligns its telehealth coverage with state regulations. Although certain telehealth flexibilities continued after the COVID-19 Public Health Emergency ended, they are now being phased out.

Starting March 9, 2026, Sunshine Health will no longer cover Targeted Case Management (TCM) (code T1017) delivered via telehealth. This change is in accordance with the Agency for Health Care Administration’s guidance.

Please note, Sunshine Health will not recoup previously paid claims for TCM services delivered via telehealth.

Questions?

Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:

SH_11418