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Behavioral Health Benefits and Member Supports

Sunshine Health cares about the wellbeing and safety of our members. That’s why we offer behavioral health services and substance abuse treatment that supports coping, recovery, wellness management and independent living skills.

Urgent Behavioral Health Resources

Always Call 911 If Someone’s Safety is at Imminent Risk

Sunshine Health Behavioral Health Crisis Line


988 Suicide & Crisis Lifeline

CMS Health Plan Behavioral Health Crisis Line

Learn More About Accessing These Resources

Community Connections Team

Sunshine Health Member Services

CMS Health Plan Member Services

In Lieu of Services Program (ILOS)

Sunshine Health offers medically appropriate substitutes for Medicaid benefits.

BenefitIn Lieu Of

Crisis Stabilization Unit (CSU)

Inpatient Psychiatric Hospital

Free Standing Psychiatric Hospital

Inpatient Psychiatric Hospital


Detoxification or Addiction Receiving Facility

Inpatient Detoxification Hospital Care

Partial Hospitalization Services

Inpatient Psychiatric Hospital Care

Mobile Crisis Assessment and Intervention

Emergency Behavioral Health Care

Ambulatory Detoxification Services

Inpatient Detoxification Hospital Care

Self-Help/Peer Services

Psychosocial Rehabilitation Services

Drop-In Center Services

Clubhouse Services

Infant Mental Health Pre & Post Testing Services

Psychological Testing

Family Training & Counseling for Child Development

Therapeutic Behavioral Onsite Services

Community-Based Wraparound Services

Therapeutic Group Care Services or Statewide Inpatient Psychiatric Program Services

Short-Term Residential Treatment (SRT)

Inpatient Detoxification Hospital Care

Multi-Systemic Therapy

Inpatient or Residential Treatment

Substance Abuse & Mental Health Intensive Outpatient Program (IOP)

Inpatient Detoxification or Psychiatric Hospital Care

Nursing Facility Services

Inpatient Hospital Services


Standard Benefits

  • Primary Care Services (unlimited)
  • Family Therapy Services
  • Group Therapy Services
  • Individual Therapy Services


Expanded Maternal/Child Benefits

  • Biometric Equipment
  • Art Therapy
  • Acupuncture
  • Chiropractic Services
  • Equine Therapy
  • Home Allowance
  • Pet Therapy


Special Programs

  • Happy: Offers 24/7 support for social isolation and loneliness.
  • Long-Acting Injectable Antipsychotics (LAIA): Monthly injections for schizophrenia that can improve medication compliance, lower ED visits and stabilize members within the community. No prior authorization for members 18 years and older.
  • Housing Assistance Pilot Program (PDF): For adult Medicaid members who are homeless or at risk of being homeless and who also have a behavioral health diagnosis or struggle with substance abuse. Provides housing for members and offers treatment.
    • Region 5: Pasco, Pinellas counties.
    • Region 7: Brevard, Orange, Osceola, Seminole counties.


Healthy Rewards

Healthy Rewards for Medicaid/Serious Mental Illness (SMI) Members

$50Substance Use Treatment for Pregnant Members Using DrugsComplete five Medication Assisted Treatment visits before delivery; provide evidence of completed counseling and medication sessions.

Substance Use Health Coaching

Ages 12 years and up. Complete 3 coaching sessions with a Care Manager in 3 months; must enroll in Case Management and provide signed consent form.


Post Behavioral Health Admission Follow up Visit

Earn rewards for attending an outpatient follow up appointment with a behavioral health provider within 7 days after discharge from an inpatient facility.

View the full list of Healthy Rewards.