Provider Training
Statewide Provider Training/Orientation Webinars
How to sign up
- Click the links below to register for a webinar.
- A webinar invitation will be sent to you via email. Once the invitation is received, click on the link provided in the email to register (this step is required for attendance).
- You will receive a confirmation email with a link and instructions for joining the webinar.
NOTE: Please check junk folder if confirmation is not received. - When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.
Relias LMS account login instructions
- Login to Relias website
- User Name (numbers only/no dash): Tax Identification Number (TIN)
- Password (case sensitive): Password1
Note: The TIN should be entered as numbers only/no dash and Password1 is case sensitive with a capital P and lower case for the other letters with the number 1 at the end. Password1 is now the permanent password for your account.
Please join us for our Provider Town Halls
Provider Town Halls, occur bi-weekly and are provider specific. Sessions are held both virtually and in-person and our registration links will reflect which sessions those are. During our sessions, we provide key updates and information about the health plan. Topics covered include product overviews, provider resources, prior authorization, utilization management, claims submission, contracting, and updates about our vendors. We record sessions, and our registration links can be located below on this page.
Providers can ask questions and have them answered by subject matter experts and leaders from different departments within the organization.
We use a Post Town Hall survey to capture feedback as well as topics providers may want to be addressed in future town halls.
You’ll hear about:
- Updates and/or changes impacting a particular product, provider type or process.
- Our Provider Engagement staff and how they’re here to help support you and ensure you are familiar with the different health plan processes.
- Helpful tips when navigating the secure Provider Portals.
- Claims and Quick Reference Guides (QRGs).
- Available training webinars (including Clinical trainings).
- Available incentive programs.
- Quality and Consumer Assessment of Healthcare Providers and Systems (CAHPS).
Resources reviewed during the sessions are provided. Please select the links below to register for upcoming sessions.
2025 Town Hall Schedule
- January 6, 2025: Therapy
- January 15, 2025: Applied Behavior Analysis (ABA)
- January 23, 2025: Therapy
- February 4, 2025: Therapy
- February 17, 2025: Therapy (Hybrid In-Person/Virtual)
- Tampa Community Connection Center, 200 W Waters Ave., Tampa, FL 33604)
2024 Town Hall Schedule
- October 23, 2024: Prescribed Pediatric Extended Care (PPEC)
- November 6, 2024: Specialists
- November 21, 2024: Electronic Visit Verification (EVV)
- November 25, 2024: Therapy
- December 4, 2024: Value-Based Care (VBC)
- December 5, 2024: Electronic Visit Verification (EVV)
- December 9, 2024: Therapy
- December 11, 2024: Behavioral Health & Applied Behavior Analysis (ABA)
- December 23, 2024: Therapy
2024 Town Hall recordings
- January 24, 2024: Doula/Midwife/Birthing Centers
- January 31, 2024: Electronic Visit Verification (EVV)
- February 7, 2024: Primary Care Physicians (PCP) - Adult
- February 21, 2024: Electronic Visit Verification (EVV)
- March 13, 2024: Ancillary - Includes PDN, DME, EVV, SNF, ALF, ADC, Home Health and Home Delivered Meals
- March 14, 2024: Electronic Visit Verification (EVV)
- March 27, 2024: Applied Behavior Analysis (ABA)
- April 10, 2024: Long-Term Care (LTC) Providers
- April 11, 2024: Electronic Visit Verification (EVV)
- April 24, 2024: Federally Qualified Health Centers (FQHCs)
- May 8, 2024: Pediatric Primary Care Physician (PCP)
- May 9, 2024: Electronic Visit Verification (EVV)
- May 22, 2024: Behavioral Health - Includes Inpatient & Outpatient
- June 5, 2024: Electronic Visit Verification (EVV)
- June 20, 2024: Hospitals & Outpatient Centers
- July 10, 2024: Electronic Visit Verification (EVV)
- July 17, 2024: Durable Medical Equipment (DME)
- July 31, 2024: Hospice
- August 14, 2024: Electronic Visit Verification (EVV)
- August 28, 2024: Early Intervention Services (EIS)
- September 4, 2024: Skilled Nursing Facility (SNF)
- September 5, 2024: Assisted Living Facility (ALF)
- September 12, 2024: Therapy - Including Pediatrics
- September 12, 2024: Electronic Visit Verification (EVV)
- September 25, 2024: Medical Foster Care (MFC) Parents
- October 24, 2024: Partners in Care: Together for Kids (PIC:TFK)
- November 7, 2024: Electronic Visit Verification (EVV)
2023 Town Hall recordings
- Ancillary - Includes PDN, EVV, SNF, ALF, ADC, Home Health and Home Delivered Meals (April 5, 2023)
- Adult Primary Care Providers (January 18, 2023)
- Hospice Providers (February 1, 2023)
- Ancillary Providers (February 15, 2023)
- Pediatric Prescribed Extended Care (PPEC) Providers (March 1, 2023)
- Specialist Providers (March 15, 2023)
- Behavioral Health Provider - Includes Inpatient & Outpatient Services (May 3, 2023)
- Doula Provider (May 17, 2023)
- Durable Medical Equipment (DME) Provider (May 31, 2023)
- Early Intervention Services (EIS) Provider (June 14, 2023)
- Hospice Provider (June 28, 2023)
- Hospital & Outpatient Center Provider (July 13, 2023)
- Medical Foster Care (MFC) Parent (July 26, 2023)
- Partners in Care: Together for Kids (August 9, 2023)
- Pediatric Prescribed Extended Care (August 23, 2023)
- Pediatric Primary Care Physician (PCP) (September 6, 2023)
- Adult Primary Care Physician (PCP) Provider (September 20, 2023)
- Specialist Provider (October 3, 2023)
- Electronic Visit Verification - EVV (October 4, 2023)
- Value-Based Care Providers (October 5, 2023)
- Therapy Provider - Including Pediatric Therapy (October 18, 2023)
- Long-Term Care (LTC) Providers (November 1, 2023)
- EVV - Electronic Visit Verification (November 8, 2023)
- FQHC - Federally Qualified Health Center (November 9, 2023)
Other Town Hall recordings
- Ambetter Town Hall
- CMS Town Hall
- PCP and Medical Specialties Town Hall
- LTC Town Hall
- BH, SMI and CW Town Hall
We Need Your Feedback
If you recently attended one of our Town Halls, please take a few minutes to complete this survey and give us feedback on your experience. Your responses will help us assess the value of the material presented and determine additional topics for future Town Halls.
Trainings
- Sunshine Health Medicaid: MMA, Child Welfare Specialty Plan (CWSP), Serious Mental Illness (SMI), Children’s Medical Services (CMS) Health Plan and Long Term Care (LTC)
- Wellcare, Wellcare by Allwell (Medicare)
- Ambetter (Marketplace)
Recordings
Sunshine Health also offers HEDIS At-A-Glance Guides for providers in the fields of Behavioral Health (PDF), Diabetes Care (PDF), Pediatric (PDF) and Women’s Health (PDF).
Training Highlights
- Sunshine Health Overview
- Product Overview- Ambetter, Child Welfare, Children's Medical Services, Medicaid, Medicare, Seriously Mental Illness
- Partnership and Network
- Covered services and expanded benefits
- Prior Authorization
- Billing Overview
- Provider Web Portal
- Electronic funds transfer/electronic remittance advice
Marketing (per AHCA contract) - Fraud, Waste and Abuse
- Provider support
- Contact information
Webinars
Register for Ambetter Provider Orientation webinars through the Relias website.
- August-December 2024 Ambetter Provider Orientation webinars
- January-July 2025 Ambetter Provider Orientation webinars
Relias LMS account login instructions
- Login to Relias website
- User Name (numbers only/no dash): Tax Identification Number (TIN)
- Password (case sensitive): Password1
Note: The TIN should be entered as numbers only/no dash and Password1 is case sensitive with a capital P and lower case for the other letters with the number 1 at the end. Password1 is now the permanent password for your account.
Training Highlights:
Sunshine Health offers trainings throughout Florida for Long Term Care providers in our network. Our team provides mostly clinical, LTC provider-focused education on topics that are geared toward improving member outcomes. Topics include:
- Abuse, Neglect, Exploitation
- Behavior Management 101 and 102
- Cultural Competency
- Depression and the Elderly
- The Keys of Fall Prevention
- Understanding the Basics of Dementia
Register for National LTC Clinical Training webinars
Training Highlights:
Sunshine Health offers free trainings to support our providers, partners, and foster and adoptive parents deliver quality care to our members. Trainings can be done via online live webinars or in-person. Trainings topics include:
- Adverse Childhood Experiences (ACE) Study
- Hooked on a Feeling: Helping Children Understand Emotions
- Hope for Healing- Attachment Series
- Motivational Interviewing
- Providing Culturally Affirming Care
- Secondary Traumatic Stress
- Sunshine Health Child Welfare Specialty Plan Overview
- Supporting Healthy Behaviors in Youth
- The Effects of Toxic Stress on Brain Development
- The Impact of Trauma
- Trauma Informed Care for Professionals
- Trauma Informed Interventions
- Trauma Informed Care for Caregivers – Parts 1-5
- Understanding & Supporting Survivors of Human Trafficking
- Successfully Working with Birth Parents
Additional evidence-based training events scheduled throughout the year include:
- Mental Health First Aid
- Rutgers Adoption Competency
- Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
- Components for Enhancing Clinician Experience and Reducing Trauma (CE-CRT)
Sunshine Health offers trainings for both behavioral health and physical health providers in our network at no cost. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. The majority of our clinical trainings also offer behavioral health continuing education units at no cost to the attendee. Trainings are completed via live/virtual instructor led webinars.
How to Register for trainings:
- View the list of all upcoming trainings
- Select the training date and time that you would like to attend
- Enter the required information and click “Register”
- You will receive a confirmation email with a link and instructions for joining the webinar. Please check your junk folder if you do not receive the confirmation email.
- When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.
Training topics include but are not limited to:
- BH Screening Tools
- De-Escalation Techniques
- Screening Brief Intervention and Referral to Treatment (SBIRT)
- 8 Dimensions of Wellness
- Perinatal Mental Health Disorders
- Social Determinants of Health and Mental Health
- Ethics for Mental Health Professionals
- An Introduction to ASAM
- Maintaining a Healthy Professional Life- The Science of Self Care
- Integrated Health Care
For training requests and/or more information, please contact our Clinical Provider Training Department.
Training Highlights
- Overview of Sunshine Health web portal
- Helpful provider resources
- How to register/add users and log in to the secure portal
- Account management overview
- Patient eligibility check
- Patient cost-sharing
- Authorizations and claims features
- Reports available to PCPs
Webinar Registrations
August 2024
- Risk Adjustment and Quality-HEDIS Documentation Best Practices
September 2024
- Annual Wellness Visit
- Risk Adjustment and Quality-HEDIS Documentation Best Practices
October 2024
- Risk Adjustment and Quality-HEDIS Documentation Best Practices
- Annual Wellness Visit
- Acute Conditions: The Impact on Risk Adjustment
- Coding for Vascular Conditions
November 2024
Register for Cultural Competency Training via Relias.
Training Highlights
- Identify the importance of screening for substance use disorders
- Describe the mechanism of opioid withdrawal
- Discuss options to treat opioid withdrawal
- Explain the safety and efficacy of buprenorphine to treat opioid use disorder
- Explain the safety of medications in antepartum, postpartum and breastfeeding period
- Describe how to start a patient (induction) on buprenorphine in an office-based setting
- Discuss successful non-pharmacological ways to treat Neonatal Abstinence Syndrome
- Apply for a waiver to prescribe buprenorphine to patients with opioid use disorder
Register for the Treatment of Opioid Use Disorder Provider Training.
Sunshine Health is offering two incentive payments for:
- Completion of Notification of Pregnancy Form: $50 paid for completed notification of pregnancy form submitted through the Sunshine Health Secure Provider Portal.
Sign up to watch/download the recording of the Maternity Provider Incentive Program webinar.
The purpose of this microlearning is to give providers information on the 2020 Behavioral Health Provider Incentive Program by Sunshine Health.
This training will discuss two behavioral health incentive payments:
- follow up visits after hospitalization; and
- metabolic monitoring for children and adolescents who take antipsychotic medications
- The Agency for Healthcare Administration (AHCA) contractual requirement for the provision and reimbursement of a nursing facility (NF) stay for up to 120 days.
- Institutional Care Program (ICP) Medicaid / LTC Enrollment Overview.
- Initial Authorization - Custodial Nursing Home -120 Day Coverage.
- Authorization Extensions – Over 120 Day Allowable.
Register for Custodial Nursing Home webinar.
Training highlights
- Telemedicine guidelines and requirements
- Telemedicine defined
- Methods to provide telemedicine
- Billing guidelines
- Reimbursable services
- Educational material and resources
- Find more information about Telemedicine
Webinars
This training will provide a step-by-step process of how to submit a CMS Authorization via the Sunshine Health Secure Provider Portal. The training will also include a live version via a test environment on how to submit a CMS Authorization.
Register for Medical Foster Care Training via Relias
Other Training Resources
Billing Guidelines
- Early Intervention Services and Targeted Case Management for children ages 0 to 3 (PDF)
- Hospital LARC Billing Instructions for Managed Care (PDF)
Medicare Training
- Medicare Advantage Model of Care Training (PDF)
- QMB Billing: Qualified Medicare Beneficiaries (PDF)
- CMS Jimmo v Sebelius Settlement Training (PDF)