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For Providers

Important Provider Updates

Managed Medical Assistance Physician Incentive Program Update

Beginning October 1, 2016, Sunshine Health is paying qualified providers enhanced payments for certain qualified services as part of the Managed Medical Assistance Physician Incentive Program. For specific information about provider eligibility for enhanced payments, please refer to the MMA Plans Physician Incentive Program Chart (PDF) available on the Florida Agency for Health Care Administration’s website.

Sunshine Health Opioid Summit Toolkit

The Opioid Toolkit provides training on issues related to opioid abuse to all managed care and provider staff who address, prescribe or treat patients receiving opioids. This training helps providers manage the growth of opioid abuse and fraud.  Relias Learning’s Opioid Package can help providers understand the opioid issue and best practices to avoid abuse.  All content is delivered through an easy-to use user interface. Providers can access it online anytime, anywhere. Together, we can help our members – your patients – get and stay well.

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 Oct. 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.


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 Sunshine Health provider portal to: 

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


Join Our Network

Thank you for your interest in becoming a Sunshine Health network provider. We look forward to working with you to improve the health of the community.

join our network

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.

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