Sunshine State Health Plan Fee Schedule

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Sunshine Health Provider Portal & Resources Sunshine Health

(5 days ago) WEBThe new form is designed to help providers quickly share patient medical information with our contracting team to expedite the SCA process. Sunshine Health offers free online …

https://www.sunshinehealth.com/providers.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(6 days ago) WEBHEALTH PLAN INFORMATION. Ambetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL2022AmbProviderManual.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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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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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 QUICK REFERENCE GUIDE

(1 days ago) WEBHEDIS Measures: Sunshine Health calculates and reports HEDIS measures annually. HEDIS consists of 20+ ccess to Care and Use of Services measures for which the Plan …

https://physicianscarenetwork.org/images/stories/NEW_Sunshine-quick_reference.pdf

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Payor Participation Schedule Effective 1/1/2020 - RADMD

(Just Now) WEBPayor Participation Schedule – Effective 1/1/2020 Payor State Benefit Plan Fee Schedules Centene Sunshine State Health Plan FL Ambetter Medicaid AvMed FL …

https://www1.radmd.com/media/870958/payor-participation-schedule-with-fee-schedule-2020-11212019.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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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBEven if a plan offers benefits for hospital stays in connection with childbirth, the Newborns’ Act only applies to certain coverage. Specifically, it depends on whether coverage is …

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

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Ambetter from Sunshine Health Payor Fee Schedule Change

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

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

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Florida fines Tampa Medicaid payment vendor nearly $9.1 million …

(2 days ago) WEBThe state is requiring Sunshine State Health Plan Inc. of Tampa to demonstrate within 30 days that future claims were being paid promptly.

https://www.tampabay.com/news/health/2022/03/23/florida-fines-tampa-medicaid-payment-vendor-nearly-91-million-over-billing-glitches/

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HealthPlan - redirect.centene.com

(5 days ago) WEBCommunity Connections. Giving Back. Our health insurance programs are committed to transforming the health of the community one individual at a time. …

https://redirect.centene.com/?RedirectURL=sunshinestatehealth.com

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State Health Plan Fee Schedules BlueCross BlueShield of South …

(1 days ago) WEBThe State Health Plan dental and health fee schedules are available to download in Excel file formats. Log into My Insurance Manager SM to download the fee schedules. Once …

https://provider.bcbssc.com/web/public/brands/sc/providers/claims-and-payments/state-health-plan-fee-schedules/

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2023 Brochures - Ambetter from Sunshine Health

(5 days ago) WEBAmbetter Select is an HMO Plan underwritten by Sunshine State Health Plan. Health Maintenance Organization plans, often have lower premiums and deductibles. Ambetter …

https://ambetter.sunshinehealth.com/2023-brochures.html

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