Skip to Main Content

In Lieu of Services Resource Guide

Your Guide to Behavioral Health Treatment Options

We are proud to work with you to improve the physical and behavioral health  of our members, your patients. Sunshine Health and Children’s Medical Services Health Plan offer In Lieu of Services (ILOS) to provide alternative services that are medically appropriate substitutes for Medicaid benefits. These services are intended to help avoid or eliminate the need for higher level of care or more costly services in the future — while  providing patients with a wider selection of treatment options.

Your patients may choose the standard Medicaid covered benefit, rather than the ILOS  benefit. If your patient agrees to the ILOS, please be sure to document this choice in the patient’s clinical record.

This Resource Guide describes the ILOS benefits, eligibility requirements, limits   and prescribing rules. If you have any questions, please call Provider Services at 1-844-477-8313

This Resource Guide describes the ILOS benefits, eligibility requirements, limits and prescribing rules. If you have any questions, please call Provider Services at 1-844-477-8313

Effective: Oct. 1, 2021