Provider News
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Don't miss important provider news and updates! Sunshine Health's Provider Newsflash is an emailed newsletter to subscribing providers. Providers can receive customized news updates from Sunshine Health relevant to their region, specialty or specialty products.
Customized news may include, but is not limited to:
- Training opportunities
- Billing and claims information
- Agency for Health Care (AHCA) or Department of Health (DOH) requirements
- Sunshine Health policy updates
March
Sunshine Health Offers Technology Grants to Providers
03/12/25
Apply for up to $10,000 to improve the technological systems you use to serve your patients.Evolent Offers Training for New Ambetter Health Cardiovascular Auths Program
03/10/25
Starting April 1, 2025, Evolent (formerly New Century Health) will oversee cardiology prior authorizations for cardiology services for all Ambetter Health members ages 19 and older.Join Sunshine Health’s HEDIS 101 Training Webinars
03/10/25
HEDIS performance measures are developed by the National Committee for Quality Assurance (NCQA).February
Medical Foster Care Parents Must Submit Original Claim Numbers
02/14/25
Claims submitted on or after October 1, 2024, must reflect updated Medicaid rates.New Incentive for Medication Assisted Treatment (MAT) Services
02/14/25
Obstetrician-Gynecologists (OB/GYN) and Behavioral Health providers can receive an additional $100 per claim filed per pregnant member for Medication Assisted Treatment (MAT) services.Sunshine Health Continues to Cover Behavioral Health, Targeted Case Management Services
02/13/25
This reminder is offered to clear up any confusion providers may have about the services the health plan covers.New Incentive for After-Hours Availability
02/13/25
Sunshine Health is incentivizing all providers with an additional $20 per member for services rendered after hours.Private Duty Nursing (PDN) & Family Home Health Aide (FHHA) Services Policy for Medically Fragile Children
02/07/25
Intended for use by providers that render PDN and FHHA services to eligible Florida Medicaid recipients.ICD-10-CM Z Codes: Enhanced Payment for Social Determinants of Health (SDOH) Bill Above Program
02/06/25
Reimbursement available to providers who submit detailed claims or encounters using Social Determinant of Health ICD-10-CM G codes.Learn How to Improve Your CDI, Coding Skills
02/04/25
Virtual Clinical Documentation Improvement (CDI) webinars help you improve your coding and documentation to comply with regulatory requirements.Show