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Provider Training

Statewide Provider Training/Orientation Webinars

How to sign up

  1. Click the date below to register for a webinar.
  2. 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).
  3. 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.
  4. When you join the webinar, the call-in telephone number and an attendee passcode will be displayed.

Training Highlights

  • Sunshine Health overview
  • Product overview- Medicaid, Healthy Kids, Ambetter, Allwell
  • 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

Training Highlights

  • Overview of the Affordable Care Act
  • The health insurance marketplace
  • Verification of eligibility, benefits and cost share
  • Specialty referrals
  • Prior authorization
  • Claim submission
  • Claim payment
  • Grievances and appeals
  • Specialty companies/vendors
  • Ambetter website
  • Member incentives
  • Fraud, waste and abuse
  • Contact information

 

Training Highlights

  • Plan overview
  • Membership, benefits and additional services
  • Providers and authorizations
  • Preventive care and screenings
  • Model of care
  • Medicare STAR ratings
  • CMS mandatory trainings

Training Highlights

  • About us and Member ID cards
  • Long Term Care and eligibility
  • Elegibility verification
  • Services
  • Value added benefits
  • Disease, behavioral management
  • AHCA mandatory trainings
  • Relias training opportunity
  • Cultural competency
  • Case management
  • Provider responsibilities
  • Prior authorizations and referrals
  • Assisted Living Facilities
  • Home health and DME coordination of benefits
  • Claims and billing
  • Electronic claims
  • Paper claims
  • Claims payment and pay span
  • Web portal registration
  • Claim wizzard demonstration
  • Recredentialing
  • Adverse incidents
  • Informal claim and provider complaints
  • Important contacts

 

Training Highlights:

Sunshine Health offers trainings throughout Florida for behavioral health and physical health providers in our network. Our team provides mostly clinical, LTC provider-focused education on topics that are geared towards improving member outcomes.  Trainings can be done via online live webinars or in-person.  Trainings topics include:

  • Abuse, Neglect, Exploitation and Reporting Adverse Incidents
  • Baker Act
  • Behavioral Health 101 Modules
  • Cultural Competency
  • De-Escalation Techniques
  • Depression and the Elderly
  • DSM5
  • Helping the Helper
  • HIPAA
  • Motivational Interviewing
  • Understanding The Basics of Dementia

Training Highlights

  • About Sunshine Health
  • Products and service areas
  • Authorization process
  • Submitting claims
  • Pay span: electronic claim payments
  • Complaints and appeals
  • Pharmacy benefits and transportation
  • Contact information

Training Highlights:

Sunshine Health offers trainings throughout Florida for behavioral health and physical health providers in our network. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes.  Trainings can be done via online live webinars or in-person.  Trainings topics include:

  • ADHD
  • ASAM
  • Baker Act
  • Behavioral Health 101 Modules
  • Cultural Competency
  • Cultural Competency in the LGBTQ Community
  • De-Escalation Techniques
  • DSM5
  • Eating Disorders
  • Helping the Helper
  • HIPAA
  • HIV/AIDS Overview
  • Marchman Act
  • Intimate Partner Violence
  • Motivational Interviewing
  • Medical Necessity/Outpatient Authorizations
  • Non-Suicidal Self Injuries
  • Perinatal Mood and Anxiety Disorders
  • Physical Health 101
  • Positive Psychology
  • Poverty Competency
  • SMART Goals
  • Strength-Based Treatment
  • Substance Use Overview and Substance-Specific Modules
  • Suicide Risk and Assessment Modules 1 & 2
  • Teen Violence

To learn more about our team, read the FL Clinical Provider Training Team Overview (PDF).

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

Training Highlights:

Sunshine Health offers trainings throughout Florida for behavioral and physical health providers, foster & adoptive parents and others who support youth impacted by the child welfare system. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes.  Trainings can be done via online live webinars or in-person.  Trainings topics include:

  • Advanced Trauma Informed Parenting
  • Adverse Childhood Experiences
  • Baker Act
  • Building Relationships in Child Welfare
  • Effects of Toxic Stress on Brain Development      
  • Helping the Helper
  • Hooked on a Feeling- Helping Children Understand Emotions
  • Hope for Healing (parts 1-5)
  • Human Trafficking
  • Impact of Trauma
  • Marchman Act
  • Motivational Interviewing
  • Normalcy for Children
  • NSSI
  • Providing Culturally Affirming Care
  • Providing services to LGBTQ Youth in Care
  • Psychotropic Medications
  • Road to Recovery (parts 1-6)
  • SBIRT
  • Sexual health in Foster Care
  • Signs & Symptoms of Sexual Abuse
  • Signs & Symptoms of Suicidality
  • The Trauma Toolkit (parts 1-5)
  • Trauma Informed Care for Educators
  • Trauma Informed Care for Human Trafficking Survivors
  • Trauma Informed Techniques
  • Trauma Informed Parenting
  • Trauma Training for Caregivers
  • Trauma Training for the Child Welfare Professional
  • Your Future Matters (Transitioning Youth Training)

 

Training Highlights:

  • Sunshine Health information
  • Medicaid overview
  • Continuity of care
  • Authorizations
  • Case management
  • Quality of care
  • Pharmacy
  • Long Term Care
  • Billing
  • Provider support
  • Value based purchasing (PCMH, MPIP, P4P)
  • Telemedicine
  • Provider training program