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For Providers

Important Provider Updates

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.

Diagnostic Testing Guidelines for 2019-Novel Coronavirus – COVID-19

It is the policy of health plans affiliated with Centene Corporation® that tests authorized under the FDA Emergency Use Authorization (EUA) for diagnosing COVID-19 are medically necessary when following the CDC guidelines for evaluation of persons under investigation for COVID-19. Read the clinical policy for Diagnostic Testing Guidelines for 2019 Novel Coronavirus – COVID-19 .

Electronic Visit Verification - Home Health Providers

Are you ready for the new EVV mandate? Sunshine Health recommends that providers begin using the HHAeXchange Portal in advance of AHCA's Dec. 1, 2019, go live date. You can also submit claims, view authorizations and schedule visits through this portal. Learn how to sign up for HHAX.

Medicaid Member Rewards - My Health Pays™

Members are rewarded for focusing on their health! They can earn My Health Pays™ rewards when they complete healthy activities such as a yearly wellness exam, preventive screenings and tobacco cessation coaching. 

Expanded Hepatitis A vaccine Medicaid benefit

Sunshine Health expanded coverage for the Hepatitis A vaccine for members ages 0-20 as medically necessary, and for members ages 21 and older with chronic liver disease or viral hepatitis infection. There is a maximum of two per lifetime. Please talk to your eligible patients about whether the vaccine is right for them.

FDA Medical Device Recall Notification for ResMed Stellar Ventilators

Effective immediately, Sunshine Health cautions all providers to discontinue use of ResMed Stellar Ventilators - Stellar 100 and 150 No-invasive and Invasive. These devices are used in hospitals, homes, or for mobile use with wheelchairs. The sound alarm in these devices may fail to work and may cause serious injuries or death. View the full notice.

Sunshine Health offers health insurance programs that fit the unique needs of our members.

View all of our available programs below. Select one to view more information and resources for our plan.