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How to Add Facilities to Existing Contracts

These instructions will help you add facilities to an existing contract.

Step 1

Please complete the application (links below) that applies to your facility.

Note

  • The application must be signed within the past 6 months of credentialing.
  • Please make sure the attached W-9 tax form has been signed within the past 12 months.

Step 2

Draft a letter to Sunshine Health on company letterhead with the following information:

  • Physical address where services are performed
  • Billing address where services are performed
  • That location’s main phone number
  • Whether the location should be listed in the health plan directory

If the location should be listed in the health plan directory:

  • Specify all health plan products the location should be added to. Note: An existing participating contract is required for the requested product.
  • Product examples:
    • Wellcare Medicare
    • Sunshine Health Medicaid: Child Welfare Specialty Plan (CWSP); Long-Term Care (LTC); Serious Mental Illness (SMI); Children’s Medical Services (CMS)
    • Ambetter Health Insurance Marketplace product

Step 3

Does the facility need to add practitioners to this group/location? 

If the answer is yes, please download and complete the LOAP/Practitioner Roster Form (Excel)

Step 4

Prepare the following email with “Facility, Ancillary or BH Add in the subject line and attach these documents:

Send the email and attachments to: practitioneradds@CENTENE.COM

What’s next?

  • You should receive an automated email acknowledging your request from practitioneradds@CENTENE.COM
  • Once the credentialing process is completed, you will be emailed a confirmation, the approval letter and the effective date
  • We will reach out if we have questions about your submission