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Why Sunshine Health?

KNOWING I'VE GOT THE HELP I NEED. It's all part of my plan. 

Sunshine Health knows that living as independently as you can is important. We can help you understand your options, which could include moving from a nursing home to an assisted living facility, moving to a relative’s home, or getting support to help you stay in your own home.

Our nursing home transition program includes:

 

Transition Assistance

Up to $5,000 to help you transition from a nursing home to a community setting.

 

Person-Centered Plan

With a care team to help you work toward your goals.

 

Intermittent and Skilled Nursing

Intermittent and skilled brief nursing care for daytime medical needs.

 

Transportation Services

Call for help with rides to medical visits.

 

Home Accessibility/Adaption

We can help adapt your home to help you live there safely.

 

Caregiver Supports

We offer respite care so your caregivers can take a break, too.

Do you need help accessing care?

We’re here to help. Contact us and a Sunshine Health team member will get back to you. If you have an urgent medical situation, please contact your doctor.

Don't Forget to Renew Each Year

Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders.

The SMMC Long-Term Care (LTC) program provides nursing facility services and home and community-based care to elders and adults (ages 18 years and older) with disabilities. Home and community-based services help people stay in their homes, with services like help with bathing, dressing and eating; help with chores; help with shopping; or supervision.

We pay for services that are provided at the nursing facility. If you live in a Medicaid nursing facility full time, you are probably already in the LTC program. If you don’t know, or don’t think you are enrolled in the LTC program, call Member Services. We can help you.

The LTC program also provides help for people living in their home. But space is limited for these in-home services, so before you can receive these services, you have to speak with someone who will ask you questions about your health. This is called a screening. The Department of Elder Affairs’ Aging and Disability Resource Centers (ADRCs) complete these screenings. Once the screening is complete, the ADRC will notify you about your wait list placement or provide you with a list of resources if you are not placed on the wait list. If you are placed on the wait list and a space becomes available for you in the LTC program, the Department of Elder Affairs Comprehensive Assessment and Review for Long-Term Care Services (CARES) program will ask you to provide more information about yourself to make sure you meet other medical criteria to receive services from the LTC program. Once you are enrolled in the LTC program, we will make sure you continue to meet requirements for the program each year.

You can find the phone number for your local ADRC on the PSA list below. They can also help answer any other questions that you have about the LTC program. Visit the Agency for Health Care Administration (AHCA) website for more information.

Enrolling and Choosing Sunshine Health Is Easy

1. Apply for Medicaid. If you are eligible for Florida Medicaid, the Agency for Health Care Administration (AHCA) will send you a letter asking you to choose a plan. Visit the Florida Department of Children and Families website to apply for Florida Medicaid.

2. Receive a letter to choose a plan.

3. Call a Choice Counselor toll-free at 1-877-711-3662 (TTY 1-866-467-4970) or visit the Statewide Medicaid Managed Care page online.

4. Choose a plan.

5. Receive a welcome packet from your plan.

Choose Sunshine Health

Our Special Benefits

Our plan offers comprehensive physical and behavioral health services and programs, tools and supports to help you and your caregivers improve your health and quality of life.

See All Benefits

Find A Doctor

Sunshine Health is proud to partner with doctors in your area. See our list of network providers.

Search Now

To become an LTC member, the following steps must be completed prior to selecting a LTC Plan:

  1. Screening
  2. Eligibility
  3. Enrollment

Follow these steps to become enrolled in the LTC program.

Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change. For more information, contact the Managed Care Plan. Sunshine Health complies with applicable Federal civil rights laws and does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, age, disability, sex, pregnancy or sexual orientation. Learn more at Sunshine Health’s website. 

This information is available for free in other formats and languages. Please contact Member Services at 1-866-796-0530, TTY 1-800-955-8770 Monday through Friday, 8 a.m. to 8 p.m.

Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con nuestro número de servicio al cliente al  1-866-796-0530, TTY 1-800-955-8770 de lunes a viernes, de 8 a.m. a 8 p.m.

Si oumenm, oubyen yon moun w ap ede, gen kesyon nou ta renmen poze sou Sunshine Health, ou gen tout dwa pou w jwenn èd ak enfòmasyon nan lang manman w san sa pa koute w anyen. Pou w pale avèk yon entèprèt, sonnen nimewo  1-866-796-0530 (TTY 1-800-955-8770).

Thông tin này được cung cấp miễn phí bằng những ngôn ngữ và định dạng khác. Hãy liên hệ Dịch vụ Thành viên theo số 1-866-796-0530, TTY 1-800-955-8770 từ Thứ Hai-Thứ Sáu, 8 giờ sáng đến 8 giờ tối.

Enroll in Sunshine Health

Call a Choice Counselor toll-free at 1-877-711-3662 (TTY 1-866-467-4970) or enroll online at FLMedicaidManagedCare.com. To enroll, you must have the Florida Medicaid number or Social Security number and date of birth for each person you wish to enroll.