Sunshine Health Medicaid Prior Authorization Request

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Florida Medicaid Pre-Authorization Sunshine Health

(9 days ago) WebOur Utilization Management Department is available Monday through Friday from 8 a.m. to 6 p.m. at 1-866-796-0530, during normal working days. Nurse Advice Line …

https://www.sunshinehealth.com/providers/preauth-check.html

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Inpatient Medicaid Prior Authorization Fax Form - Sunshine …

(2 days ago) WebINPATIENT MEDICAID Complete and Fax to: 1-866-796-0526 Prior Authorization Fax Form This is a standard authorization request that may take up to 7 calendar days to …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/FL-PAF-0676_Inpatient-2.pdf

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OUTPATIENT Complete and AUTHORIZATION FORM

(6 days ago) WebDME Fax to: 833-741-0943 HH Fax to: 866-534-5978 BH: Fax 844-208-9113. Urgent requests - Please call 1-844-477-8313. *Urgent requests are made when the member or …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/SH-PRO-UM-Outpatient%20Auth.pdf

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Home Health Sunshine Health

(4 days ago) WebIf you are a contracted Sunshine Health provider, you can register for the Secure Provider Portal to verify member eligibility, manage claims, manage authorizations and more. …

https://www.sunshinehealth.com/content/sunshine-new/en_us/providers/resources/Home-health.html

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Provider Training Florida Medicaid Sunshine Health

(Just Now) WebDuring our sessions, we provide key updates and information about the health plan. Topics covered include product overviews, provider resources, prior authorization, utilization …

https://www.sunshinehealth.com/content/sunshine-new/en_us/providers/provider-training.html

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Referral and Authorization Information Ambetter from …

(9 days ago) WebPrior authorization means that we have pre-approved a medical service. To see if a service requires authorization, check with your Primary Care Provider (PCP), the ordering provider or Member Services. When we …

https://ambetter.sunshinehealth.com/resources/handbooks-forms/referral-authorization.html

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Care Management Sunshine Health

(5 days ago) WebCall the 24-hour Sunshine Health Nurse Advice Line 1-866-796-0530 (TTY 1-800-955-8770) Press 1 for Member; Press 2 for LTC or 3 for MMA; Press 5 for Nurse Advice Line; …

https://www.sunshinehealth.com/content/sunshine-new/en_us/members/medicaid/resources/care-management.html

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Medication Prior Authorization Request Form - Ambetter …

(Just Now) WebMedication Prior Authorization Request Form. 1-844-477-8313. Provider Services. Ambetter.SunshineHealth.com. AMB_ 3171. Type of Request: Today’s Date: I.

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_Prior-Authorization-Form_Specialty-Ambetter.pdf

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Provider Directories Florida Medicaid Sunshine Health

(8 days ago) WebThe Sunshine Health provider directory is a list of physicians, hospitals and other healthcare providers that are available to you. Learn more. Prior Authorization …

https://www.sunshinehealth.com/content/sunshine-new/en_us/members/smi/find-a-doctor.html

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Florida Medicaid Pre-Auth Form Sunshine Health

(9 days ago) WebFind out if you need a Medicaid pre-authorization with Sunshine Health's easy Pre Auth Needed Tool.

https://www-es.sunshinehealth.com/providers/preauth-check/medicaid-pre-auth.html?langswitch_lang=en

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Outpatient Authorization Form - Ambetter from Sunshine …

(8 days ago) WebComplete and Fax to: 855-678-6981 Transplant Request Fax to: 833-550-1337. Request for additional units. Existing Authorization. Units. Standard requests - Determination …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_EF-PAF-0699_Outpatient_10292020.pdf

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Prior Authorization - Sunshine Health

(7 days ago) WebThe list of services that need a prior authorization can include an admission to the hospital after an emergency condition has improved, power wheelchairs, home health visits, MRI …

https://www.sunshinehealth.com/members/cms/resources/Prior-Authorization.html

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Inpatient Prior Authorization Fax Form - Ambetter from …

(5 days ago) WebPrior Authorization Fax Form. Fax to: 855-678-6981. Standard Request - Determination within 15 calendar days of receiving all necessary information. Expedited Request - I …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-PAF-0698_May2016_IP.pdf

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Inpatient Authorization Form - Ambetter from Sunshine Health

(7 days ago) WebAUTHORIZATION FORM. Standard requests - Determination within 15 calendar days of receiving all necessary information. I certify this request is urgent and medically …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/508_EF-PAF-0698_Inpatient_10222020.pdf

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebIf a response for a Prior Authorization request for non-emergency services is not received within 15 days call 1-800-682-9091. Dental providers can submit authorization requests …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Prior Authorization - Aetna Better Health

(4 days ago) WebIf you have questions about what is covered, consult your Provider Manual or call 1-855-456-9126. Remember, prior authorization is not a guarantee of payment. Unauthorized …

https://www.aetnabetterhealth.com/ny/providers/information/prior

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Centene updates prior authorization process, adds automation

(1 days ago) WebThe rest were former Medicaid members deemed no longer eligible for coverage as states continue to unwind their Medicaid rolls. The insurer's Medicaid …

https://www.modernhealthcare.com/finance/centene-prior-authorization-sarah-london

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How to Apply for Medicaid in Florida Sunshine Health

(8 days ago) WebENROLLING AND CHOOSING SUNSHINE HEALTH IS EASY. 1. Apply for Medicaid. 2. Receive a letter to choose a plan. 3. Choose a plan. 4. Call a Choice Counselor toll-free …

https://www.sunshinehealth.com/content/sunshine-new/en_us/members/smi/how-to-enroll.html

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Radiology Sunshine Health

(1 days ago) WebThe program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization. This program is consistent with industry-wide …

https://www.sunshinehealth.com/content/sunshine-new/en_us/providers/Specialty-services/radiology.html

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) Webhealth provider. Authorization is required for many behavioral health services. To obtain an authorization, please call the Provider Services number card. All Horizon NJ Health …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Prior authorization requirements for Kentucky Medicaid

(9 days ago) WebThis list contains prior authorization requirements for UnitedHealthcare Community Plan in Kentucky participating care providers for inpatient and outpatient …

https://www.uhcprovider.com/content/dam/provider/docs/public/commplan/ky/KY-Prior-Auth-5-1-2024.pdf

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Sunshine Adult Health Care Senior Center

(Just Now) WebWe operate an adult day care facility that’s specifically designed to offer the therapeutic, diagnostic, preventative and rehabilitation dementia care services that vulnerable people …

https://www.sunshineadhcc.com/

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