Sunshine Health Medicaid Fee Schedule

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Rule 59G-4.002, Provider Reimbursement Schedules and Billing …

(7 days ago) WEBCommunity-Based Substance Abuse County Match Fee Schedule: Updated Fee Schedule [ 30.7 kB ] 2024 Promulgated Fee Schedule [ 30.7 kB ] 2023: Community Behavioral Health Services Fee Schedule: Updated Fee Schedule [ 562.9 kB ] 2024 Updated XLS …

https://ahca.myflorida.com/medicaid/rules/rule-59g-4.002-provider-reimbursement-schedules-and-billing-codes

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Billing and Claims Sunshine Health

(Just Now) WEBBilling and Claims. Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per …

https://www.sunshinehealth.com/providers/Billing-manual.html

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Clinical & Payment Policies Provider Resources Sunshine Health

(4 days ago) WEBClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://www.sunshinehealth.com/providers/utilization-management/clinical-payment-policies.html

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EIS and TCM Billing Guide Sunshine Health

(9 days ago) WEBThis means that a provider can bill Sunshine Health for the EIS and EIS TCM services that a new member was receiving, prior to enrolling in Sunshine Health, …

https://www.sunshinehealth.com/providers/provider-training/eis-and-tcm-billing-guide.html

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Payment Policy: Durable Medical Equipment, Medical

(Just Now) WEBCodes Not Listed/Priced on Medicaid Fee Schedule Covered procedure codes not listed on the Medicaid Fee Schedule, not priced on the Medicaid Fee Schedule or not …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/policies/payment-policies/FL.CLMS.06.pdf

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Sunshine Health Provider Portal & Resources Sunshine Health

(5 days ago) WEBThe new form is designed to help providers quickly share patient medical information with our contracting team to expedite the SCA process. Sunshine Health …

https://www.sunshinehealth.com/providers.html

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Florida Medicaid Options & Plans Sunshine Health

(2 days ago) WEBChoose or change your provider in your private, online account. If you have any questions, we’re here to help Monday through Friday, 8 a.m. to 8 p.m. You can call us at any time, …

https://www.sunshinehealth.com/members/medicaid.html

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBWelcome to Ambetter from Sunshine Health (“Ambetter”). Thank you for participating in our network of high-quality physicians, hospitals, and other healthcare professionals.

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/2023-FL-AmbProviderManual.pdf

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Provider and Billing Manual - Ambetter from Sunshine Health

(8 days ago) WEBAmbetter from Sunshine Health 1301 International Parkway, Suite 400 Sunrise, Fl 33323 . Phone Numbers . Phone TTY/TDD 1-877-687-1169 1-800-955-8770 ; If a …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/FL-Amb2018ProvderManualV2.pdf

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Ambetter from Sunshine Health Payor Fee Schedule Change

(9 days ago) WEBHealth Payor Fee Schedule Change. Date: 09/02/21. Thank you for your continued partnership with Ambetter from Sunshine Health. Our goal is always to …

https://ambetter.sunshinehealth.com/provider-resources/provider-news/ambetter-from-sunshine-health-payor-fee-schedule-change.html

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Provider and Billing Manual - Florida - Ambetter from …

(5 days ago) WEBSunshine Health 1301 International Parkway, Suite 400 Sunrise, FL 33323 . Phone Numbers . Sunshine ; Phone ; 1-877-687-1169 ; TTY/TDD ; 1-800-955-8770; If a …

https://ambetter.sunshinehealth.com/content/dam/centene/Sunshine/Ambetter/PDFs/AMB-FL-Combined_Manual.pdf

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Clinical & Payment Policies - Ambetter from Sunshine Health

(5 days ago) WEBClinical Policies. Clinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are …

https://ambetter.sunshinehealth.com/provider-resources/clinical-payment-policies.html

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Florida Medicaid - The Agency for Health Care Administration

(3 days ago) WEBAgency for Health Care Administration December 2023 Florida Medicaid . Florida Medicaid fee schedule(s), or as specified in this policy. replacement requirements as …

https://ahca.myflorida.com/content/download/23763/file/59G-4.072%20Durable%20Medical%20%20Equipment%20and%20Medical%20Supply%20Services%20Specialized.pdf

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Physician Fee Schedule CMS - Centers for Medicare & Medicaid …

(Just Now) WEBCMS issued the CY 2024 Physician Fee Schedule (PFS) final rule that announces policy changes for Medicare payments under the PFS and other Medicare Part B payment …

https://www.cms.gov/medicare/payment/fee-schedules/physician

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Durable Medical Equipment (DME) and Medical Supplies

(3 days ago) WEBMedicaid reimburses for durable medical equipment (DME) and medical supplies appropriate for use in the recipient’s home. DME may be rented, purchased or rented-to …

https://ahca.myflorida.com/medicaid/medicaid-policy-quality-and-operations/medicaid-policy-and-quality/medicaid-policy/medical-and-behavioral-health-coverage-policy/specialized-health-services/durable-medical-equipment-dme-and-medical-supplies

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NORTH CENTRAL EARLY STEPS SERVICE PROVIDER MANUAL …

(Just Now) WEBTherapy services on the IFSP are currently reimbursed according to the Medicaid fee schedule by each of the plans in our area. All services are pre …

https://earlysteps.pediatrics.med.ufl.edu/wordpress/files/2024/05/UFNCES-ServiceProviderManual_24-25_2024-05-15-edit.pdf

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Fee Schedule & Rates - Ohio

(3 days ago) WEBThe fee schedules and rates are provided as a courtesy to providers. Providers are to charge their reasonable and customary charge regardless of the anticipated …

https://medicaid.ohio.gov/resources-for-providers/billing/fee-schedule-and-rates/fee-schedule-and-rates

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NJDOBI - Fee Schedules - The Official Web Site for The State of …

(8 days ago) WEBAmbulatory Surgical Center Facility Fees. Exhibit1A Final EO2 Version. Dental Fee Schedule. Exhibit2 Final EO2 Version. Private Nursing Care (per hour) Exhibit3 Final …

https://www.nj.gov/dobi/division_insurance/medfees/feeschedules.html

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WEBMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Welcome to New Jersey Medicaid 2

(5 days ago) WEBPlease contact their payer relations department at 800 527 - 8133 and choose Option 1 for details. For impacted providers who still cannot submit claims electronically, the State of …

https://www.njmmis.com/default.aspx

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Editorial: Be vigilant against any attempt to block Sunshine

(3 days ago) WEBIn addition, a snapshot of Scarborough’s site, captured Dec. 1 on the Internet Archive’s Wayback Machine, shows no mention of a $25 fee. It’s still a mystery as to …

https://www.orlandosentinel.com/2024/05/15/editorial-be-vigilant-against-any-attempt-to-block-sunshine/

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