Sunshine Health Continues to Cover Behavioral Health, Targeted Case Management Services
Date: 02/13/25
Sunshine Health continues to cover all AHCA Medicaid Community Behavioral Health and Targeted Case Management Services. This reminder is offered to clear up any confusion providers may have about the services the health plan covers. Sunshine Health continues to follow AHCA’s March 15, 2022, Florida Medicaid Health Care Alert for Service Limits for Community Behavioral Health and Targeted Case Management Services.
Those services include:
- Behavioral Health Assessment/Evaluation Services
- Behavioral Health Day Services/Day Treatment
- Behavioral Health Medical Services (e.g. medication management, drug screening, etc.)
- Behavioral Health Psychosocial Rehabilitation
- Behavioral Health Screening Services
- Group Therapy (Behavioral Health)
- Individual/Family Therapy
- Medication Assisted Treatment Services
- Mental Health Targeted Case Management
- Therapeutic Behavioral On-Site Services
If you have any questions about these covered services please call Provider Services at 1-844-477-8313.
Questions?
Sunshine Health has a wealth of resources available to help answer your questions and address your concerns:
- Provider Services: Call 1-844-477-8313
- Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
- Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
- Provider News: Bookmark Provider News to keep up with the latest updates.
- Provider Newsflash: Subscribe to our e-newsletter to get regular updates.
- Provider Resources: Visit Manuals, Forms and Resources to find provider manuals, important forms and other resources.
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