What can Provider Engagement do for you
When Should I Use This Form?
Participating Sunshine Health providers should use this form for non‑urgent assistance related to Provider Engagement topics, of if they need additional help beyond self‑service resources.
Sunshine Health offers a variety of online resources and self-service tools to help providers resolve issues, answer questions and/or update their information.
- Before submitting an inquiry to Provider Engagement, review and utilize the resources below, which may help resolve your issue(s)..
Provider Tools & Self-Service Forms
- Become a Provider: Join the Sunshine Health network.
- Claim Concerns Form: Request further review of disputed claims.
- Finding the Right Contact: Find the team that can best help you.
- Provider Demographic Updates Form: Update your practice or facility demographic and contact information.
- Provider Enrollment Requests: Add a practitioner or facility to your contract.
- Change of Ownership (CHOW) Form: Change ownership of your practice or facility.
- Pre-Auth Check Tool: Find out if prior authorization is needed.
Provider Resources
- Sunshine Health Provider Resources: Find Medicaid information.
- Ambetter Health Provider Resources: Find Marketplace information.
- Wellcare Provider Resources: Find Medicare information.
- Billing & Claims (QRGs): Find Quick Reference Guides (QRGs) for your specialty.
- Medicaid Appeals Guide: Find the appeals processes for members and providers.
- Ambetter Health Appeals Guide: Find the appeals processes for members and providers.
- Behavioral Health Resources: Find behavioral health (BH) information.
- Provider Training: Register for instructor-led training sessions such as Provider Town Halls; access free self-paced training via the Relias Learning Management System; access our library of past recorded sessions; and more.
Provider News
- Sunshine Health Provider News: Get the latest Medicaid news and updates..
- Provider Newsflash: Subscribe to our monthly provider e-newsletter.
- Sunshine Health Provider Newsletters: Available every quarter.
- Ambetter Health Provider News: Get the latest Marketplace news and updates.
- Wellcare Medicare Bulletins: Read the latest Medicare news and updates.
- Email: Sunshine Health regularly sends emails with the latest provider information. Check your inboxes for: no-reply@email.sunshinehealth.com
- If you are not receiving our emails, please check your junk and spam folders.
Standards for Appointment Scheduling
Provider Engagement Inquiry Form
*Please note: this form is intended for Sunshine Health participating provider use only.
- Once you have completed all the necessary information and select “Submit”, the next page will include a Thank you, submission page, acknowledging the request has been received by our team.
- You will receive a follow‑up via email from Provider Engagement within 7 to 14 business days for standard requests or within 7 business days for inquiries previously submitted through our form.