WebSunshine Health-WellCare Integration Means You’ll Have One Representative Focused on Your Needs Dear Valued Provider Partner, We are excited to announce the integration of Sunshine Health and WellCare’s Provider Relations teams. WebSunshine Health, Staywell Health Plan, Children’s Medical Services Health Plan and WellCare (known collectively going forward as Health Plan) will begin a prior authorization program through NIA for the management of outpatient imaging services. Program start date: April 1, 2024 Begin obtaining authorizations from NIA on March 22, 2024 via RadMD …
Medicaid Managed Medical Assistance Specialty Plans - Florida
WebJan 1, 2024 · Sunshine Health is excited to announce that we are expanding the number of transportation service providers to better serve our members and get them to needed … WebAug 1, 2014 · Humana, Molina, Sunshine, and United. Under the terms of the Section 1115 waiver, MCOs must meet a medical loss ratio standard, which requires them to spend at least 85% of total premiums received on activities directly related to the provision of care.The Managed Long-Term Services and Supports program (Nursing Home Diversion … saved searches windows 11
National Imaging Associates, Inc. (NIA) Medical Specialty
WebOct 1, 2024 · On October 1, 2024, the Staywell name will go away and your Staywell Medicaid patients will become Sunshine Health members. Children’s Medical Services (CMS) … WebNov 25, 2024 · Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through through our Medicaid, Long Term Care and specialty plans. Who owns Sunshine Health in Florida? WebFor Staywell members who become Sunshine Health members on Oct. 1, 2024 , where do providers submit claims for dates of service rendered on or after Oct. 1, 2024 during the COC period? Ages 0-2 Claims for members aged 0–2 should be submitted to Sunshine Health. Follow the normal claims submission guidelines as documented in the scaffolding a child\\u0027s learning