Sunshine Health Prior Authorization List

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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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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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CMS Pre-Auth Form Sunshine Health

(2 days ago) WebHome Health (Infusion) services need to be verified by Sunshine Health. DME/home infusion form (PDF) MMA, SMI, and Child Welfare Therapy requests (PT, OT, ST) at …

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

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OUTPATIENT AUTHORIZATION FORM (FLORIDA) - Sunshine …

(6 days ago) WebFax 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 his/her …

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

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Prior Authorization Request Form - Sunshine Health

(7 days ago) Webinformation is available for review if requested by the health plan sponsor, or, if applicable, a state or federal regulatory agency. I understand that any person who knowingly makes or …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/Prior%20Authorization%20Form_Sunshine_General_v2.pdf

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Provider Toolkit Prior Authorization Guide - Ambetter …

(9 days ago) Web1-877-687-1169. After normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned by phone, fax or web. FAX. Medical. 1 …

https://ambetter.sunshinehealth.com/provider-resources/provider-toolkit/provider-toolkit-prior-authorization-guide.html

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Prior Authorization Guide-Florida - Ambetter from Sunshine …

(8 days ago) WebPrior Authorization LOG INTO OUR SECURE WEB PORTAL https://provider.sunshine . statehealth.com CALL 1-877-687-1169. FAX 1-855-678-6981 BEHAVIORAL HEALTH. 1 …

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

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How to Secure Prior Authorization - Ambetter from Sunshine …

(9 days ago) WebEmergency services DO NOT require prior authorization. 2. All out-of-network services and providers DO require prior authorization. 3. ailure to complete the required …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/PriorAuthorizationGuide_FL.pdf

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Pre-Auth Tool Ambetter from Sunshine Health

(6 days ago) WebBehavioral Health/Substance Abuse need to be verified by Sunshine Health. Oncology Biopharmacy, Radiation Oncology drugs, and administration of Radiation Oncology need …

https://ambetter.sunshinehealth.com/provider-resources/manuals-and-forms/pre-auth.html

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How to Secure Prior Authorization - Ambetter from Sunshine …

(Just Now) WebAfter normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned phone, fax, or web. Emergency …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/ProAMB91233PriorAutGuideFL.pdf

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Referral and Authorization Information - Ambetter from Sunshine …

(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 …

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

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Prior Authorization Rules for Medical Benefits - Wellcare

(9 days ago) WebMailing Address - Allwell from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323; What services require Prior Authorization? To obtain a list of …

https://wellcare.sunshinehealth.com/member-resources/member-rights/prior-authorization-medical.html

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Prior Authorization - Sunshine Health

(2 days ago) WebThe number is 1-866-796-0530. Some covered services require a prior authorization from Sunshine Health before the service is provided. The list of services that need a prior …

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

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Prior Authorization, Step Therapy & Quantity Limitations - Wellcare

(4 days ago) Web2022 Information. 2021 Information. Prior Authorization, Step Therapy and Quantity Limits. Our plan has a team of doctors and pharmacists who create tools to help …

https://wellcare.sunshinehealth.com/drug-pharmacy/prior-authorization.html

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Medicare Prior Authorization List SNP/MAPD/MMP

(7 days ago) WebFor complete CPT/HCPCS code listing, please see Online Prior Authorization Tool on Health Plan website Updated 2/2020 Please verify eligibility and benefits prior to …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2020-FL-MEDICAL-PA-LIST.pdf

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2021 Prescription Drug List - Ambetter from Sunshine Health

(Just Now) WebThe Ambetter from Sunshine Health Formulary, or Preferred Drug List, is a guide to available brand and generic drugs that are approved by the Food and Drug …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/2021_fl_formulary.pdf

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Florida Medicaid Preferred Drug List Effective January 1, 2024

(2 days ago) WebFlorida Medicaid Preferred Drug List Effective January 1, 2024. HIC3 HIC3 Desc Label Name Generic Name Medicaid Min Age Medicaid Max Age Medicaid Drug Prior Auth …

https://ahca.myflorida.com/content/download/22289/file/PDL.pdf

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List of Drugs (Formulary) Search Tool - Wellcare

(6 days ago) WebTop of Page. List of Drugs (Formulary) Search Tool. Our drug search tool gives you quick access to covered drugs by: Drug name - in the brand and generic search box, type in …

https://wellcare.sunshinehealth.com/drug-pharmacy/formulary/formulary-search-tool.html

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List of Drugs (Formulary) - Wellcare

(4 days ago) WebThe PDF document lists drugs by medical condition and alphabetically within the index. To search for your drug in the PDF, hold down the “Control” (Ctrl) and “F” …

https://wellcare.sunshinehealth.com/drug-pharmacy/formulary.html

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Prior Authorization Requirements for UnitedHealthcare

(3 days ago) WebUse the Prior Authorization and Notification tool on UnitedHealthcare Provider Portal. Go to . UHCprovider.com. and click on the UnitedHealthcare Provider …

https://www.uhcprovider.com/content/dam/provider/docs/public/prior-auth/pa-requirements/commercial/UHC-Commercial-Advance-Notification-PA-Requirements-5-1-2024.pdf

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