Need help?

Please contact your local Provider Engagement Administrator with questions.
You can find your Provider Engagement Administrator by selecting the county
of the primary office for your organization.

For Providers 

Provider News


Provider Services Call Center

Do you need more information or have a question? Call Provider Services at 1-844-477-8313 Monday through Friday from 8 a.m. to 8 p.m. Eastern or submit a request form. 

Contact Us

Secure Provider Portal

If you are a contracted Sunshine Health provider, you can register now. If you are a non-contracted provider, you will be able to register after you submit your first claim. 

Once you have created an account, you can use the Secure Provider Portal to: 

  • Verify member eligibility
  • Manage claims
  • Manage authorizations
  • View patient list
  • Login/Register

Standards for Appointment Scheduling

We want to ensure appointments for medical services and behavioral health services are available to our members  on a timely basis. See the Appointment Availability standards for Medicaid, Children's Medical Services Health Plan, Ambetter (Marketplace) and Wellcare (Medicare).  Please ensure these standards are implemented accordingly within your practice.  

Standards (PDF)

Join a Provider Town Hall

Provider Town Halls cover a variety of post-integration updates to better assist you in navigating our processes. Our Town Hall series is ongoing; however, we modified our existing process to separate the sessions and make them more specific to specialty types. Please register in advance—space is limited. To register for an upcoming Town Hall or watch recordings of previous Town Halls, visit our Training web page.

Provider Coronavirus Information 

We are closely monitoring and following all guidance from the Centers for Medicare and Medicaid (CMS), the Florida Department of Health (DOH), the Agency for Health Care Administration (AHCA), and all other applicable agencies as it is released to ensure we can quickly address and support the prevention, screening and treatment of COVID-19. Read provider coronavirus guidance.