Sunshine Health Medicaid Fee Schedule

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Florida Medicaid & Health Insurance Sunshine Health

(1 days ago) WEBA session will be held on June 5, 2024, from 10 a.m. to 12:30 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today.

https://www.sunshinehealth.com/

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WEBCommunity-Based Substance Abuse County Match Fee Schedule: Updated Fee Schedule [ 30.7 kB ] 2024 Promulgated Fee Schedule [ 30.7 kB ] 2023: Community Behavioral …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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EIS and TCM Billing Guide Sunshine Health

(9 days ago) WEBThis means that a provider can bill Sunshine Health for the EIS and EIS TCM services that a new member was receiving, prior to enrolling in Sunshine Health, …

https://www.sunshinehealth.com/providers/provider-training/eis-and-tcm-billing-guide.html

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Clinical & Payment Policies Provider Resources Sunshine Health

(4 days ago) WEBClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://www.sunshinehealth.com/providers/utilization-management/clinical-payment-policies.html

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Payment Policy: Durable Medical Equipment, Medical

(Just Now) WEBCodes Not Listed/Priced on Medicaid Fee Schedule Covered procedure codes not listed on the Medicaid Fee Schedule, not priced on the Medicaid Fee Schedule or not …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/policies/payment-policies/FL.CLMS.06.pdf

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Behavioral Health Provider Quick Reference Guide - Sunshine …

(Just Now) WEBBilling: Please refer to the Medicaid Fee Schedule and the Billing and Procedure Coding Guide for a list of approved modifier codes. Please refer to your contract with Sunshine …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Behavioral-Health-QRG.pdf

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Ambetter from Sunshine Health Payor Fee Schedule Change

(9 days ago) WEBHealth Payor Fee Schedule Change. Date: 09/02/21. Thank you for your continued partnership with Ambetter from Sunshine Health. Our goal is always to …

https://ambetter.sunshinehealth.com/provider-resources/provider-news/ambetter-from-sunshine-health-payor-fee-schedule-change.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBAmbetter from Sunshine Health 1301 International Parkway, Suite 400 Sunrise, Fl 33323 . Phone Numbers . Phone TTY/TDD 1-877-687-1169 1-800-955-8770 ; If a …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-Amb2018ProvderManualV2.pdf

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBWelcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of high-quality physicians, hospitals, and other healthcare professionals.

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/2023-FL-AmbProviderManual.pdf

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Clinical & Payment Policies - Ambetter from Sunshine Health

(5 days ago) WEBClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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Practitioner Fee Schedule - The Agency for Health Care …

(6 days ago) WEBPractitioner Fee Schedule 1 Legend • Services provided by an APRN or a PA within their scope of practice may be billed under a physician’s Medicaid provider …

https://ahca.myflorida.com/medicaid/review/Reimbursement/2022-01-01_Fee_Sched_Billing_Codes/Practitioner_Fee_Schedule_2022.pdf

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Provider and Billing Manual - Florida - Ambetter from …

(5 days ago) WEBSunshine Health 1301 International Parkway, Suite 400 Sunrise, FL 33323 . Phone Numbers . Sunshine ; Phone ; 1-877-687-1169 ; TTY/TDD ; 1-800-955-8770; If a …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/AMB-FL-Combined_Manual.pdf

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Durable Medical Equipment (DME) and Medical Supplies

(3 days ago) WEBMedicaid reimburses for durable medical equipment (DME) and medical supplies appropriate for use in the recipient’s home. DME may be rented, purchased or rented-to …

https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/specialized-health-services/durable-medical-equipment-dme-and-medical-supplies

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Occupational Therapy Services Fee Schedule 2023 - The …

(6 days ago) WEBOccupational Therapy Services Fee Schedule 2023 Code Modifier Description of Service Maximum Fee Maximum Allowable Units 97165 Occupational Therapy Evaluation, Low …

https://ahca.myflorida.com/content/download/22583/file/2023%20Occupational%20Therapy%20Services%20Fee%20Schedule.pdf

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NJDOBI - Fee Schedules - The Official Web Site for The State of …

(8 days ago) WEBAmbulatory Surgical Center Facility Fees. Exhibit1A Final EO2 Version. Dental Fee Schedule. Exhibit2 Final EO2 Version. Private Nursing Care (per hour) Exhibit3 Final …

https://www.nj.gov/dobi/division_insurance/medfees/feeschedules.html

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Behavior Analysis Fee Schedule 2023 - The Agency for Health …

(2 days ago) WEBMedicaid reimburses a maximum of 24 units per behavior assessment Behavior identification - supporting assessment 97152 Behavior Analysis Fee Schedule 2023 …

https://ahca.myflorida.com/content/download/22591/file/Behavior%20Analysis%20Fee%20Schedule%202023.pdf

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WEBMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Provider and Billing Manual 2024 - Ambetter from Sunshine …

(5 days ago) WEBHealth Management 50\n . PRIOR AUTHORIZATIONS51\n . Services Requiring Prior Authorization 51\n . Timeframes for Prior Authorization Requests and Notifications51\n . …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-2024-Ambetter-Provider-Manual.pdf

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Welcome to New Jersey Medicaid 3

(5 days ago) WEBPlease contact their payer relations department at 800 527 - 8133 and choose Option 1 for details. For impacted providers who still cannot submit claims electronically, the State of …

https://www.njmmis.com/default.aspx

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