Resources for Home Health Providers

Quick Reference Guides

Download our Quick Reference Guides to get the latest information on claims and authorization instructions by product.

• Ambetter Home Health QRG (PDF)
• Medicaid Home Health QRG (PDF)
• Ambetter HH/DME Prior Authorization QRG (PDF)
• Medicaid Member and Provider Appeals Process FAQ (PDF)
  

Claims Issues

Providers can email claim issues to: Sunshine_provider_relations@SunshineHealth.com

Please send an AR spreadsheet with the claim number, date of service, amount billed and denial code. Make sure to record the ticket number so you can track your claim.

Find your Provider Engagement Administrator  

Your local Provider Engagement Administrator can help answer questions.

Join the Sunshine Health Network

Are you currently non-participating with Sunshine Health and want to join? Place your request.

Create a Provider Secure Portal Account

If you are a contracted Sunshine Health provider, you can register for the Secure Provider Portal to verify member eligibility, manage claims, manage authorizations and more.

Additional questions?

• For Ambetter from Sunshine Health (Marketplace), find answers using our Provider Toolkit or call Provider Services at 1-877-687-1169.
• For Medicaid, call Provider Services at 1-844-477-8313.