Sunshine Health Medicaid Guidelines Florida

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Practice Guidelines Florida Medicaid Sunshine Health

(5 days ago) WebPreventive and clinical practice guidelines are based on the health needs and opportunities for improvement identified as part of the Quality Assurance Program Improvement (QAPI) program. Whenever possible, Sunshine Health adopts preventive …

https://www.sunshinehealth.com/providers/quality-improvement/practice-guidelines.html

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Medicaid State Plan Under Title XIX of the Social Security …

(5 days ago) WebFlorida's Medicaid State Plan (the Plan) is a comprehensive written statement describing the scope and nature of the Medicaid program. The Plan outlines …

https://ahca.myflorida.com/medicaid/medicaid-state-plan-under-title-xix-of-the-social-security-act-medical-assistance-program

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2022 Summary of Benefits - Wellcare

(7 days ago) WebThis is a summary of drug and health services covered by Wellcare Dual Nurture (HMO D-SNP) from January 1, 2022 to December 31, 2022. This booklet will provide you with a …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2022-FL-SB-H5190-006-MA.pdf

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Florida Medicaid Benefits.gov

(7 days ago) WebThe Florida Medicaid Program provides free or low-cost health coverage to eligible needy persons. Determine your eligibility for this benefit Always check with the appropriate …

https://www.benefits.gov/benefit/1625

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

(7 days ago) WebCounty Health Department Billing Codes: Updated Billing Code [ 109.9 kB ] 2024 Promulgated Billing Code [ 109.7 kB ] 2023: Federally Qualified Health Center Billing …

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

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Health Provider Manual UPDATED 072513 - www-fl.centene.com

(1 days ago) WebSunshine Health - Long Term Care is a managed care organization (MCO) contracted with the Florida Agency for Health Care Administration (AHCA) to serve …

https://www-fl.centene.com/content/dam/centene/Sunshine/pdfs/SUN_LTC%20Provider%20Manual_20170605.pdf

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Durable Medical Equipment (DME) and Medical Supplies Florida …

(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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Florida Medicaid Preferred Drug List Effective April 1, 2024

(2 days ago) WebFlorida Medicaid Preferred Drug List Effective April 1, 2024. HIC3 HIC3 Desc Label Name Generic Name Min Age Max Age PA Required A1A DIGITALIS GLYCOSIDESDIGOXIN …

https://ahca.myflorida.com/content/download/22289/file/PDL.pdf

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Medicaid Redetermination Florida DCF

(7 days ago) WebThe Florida Medicaid Redetermination Plan Objectives: Ensure continuity of Medicaid coverage for eligible individuals while promoting access to alternative health coverage …

https://www.myflfamilies.com/medicaid

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Demystifying Florida’s Medicaid/KidCare Income Eligibility Criteria

(8 days ago) WebThousands of Florida families risk losing health coverage once the federal COVID public health emergency ends. Now more than ever, it is critical that people have access to …

https://www.floridapolicy.org/posts/demystifying-floridas-medicaid-kidcare-income-eligibility-criteria?42f82863_page=2

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Florida State Medicaid Managed Care - Home Page

(4 days ago) WebStatewide Medicaid Managed Care (SMMC) is the program where most Medicaid recipients receive their Medicaid services. There are three different programs that …

https://flmedicaidmanagedcare.com/

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Affordable Health Insurance in Florida Ambetter from Sunshine …

(6 days ago) WebVirtual 24/7 Care. Get medical help from doctors via video and phone. Healthcare is essential. Ambetter Health can help. You can count on us to share helpful information …

https://ambetter.sunshinehealth.com/

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Ambetter from Sunshine Health Review - HealthCareInsider.com

(3 days ago) WebSunshine Health, which has been serving Florida since 2007, also offers Medicare and Medicaid coverage. It has more than 1 million members statewide. 1. …

https://healthcareinsider.com/ambetter-from-sunshine-health-review-385439

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Deadline passes for Sunshine State Health Plan to challenge $9.1

(9 days ago) WebAn excerpt of a disciplinary letter sent March 17 to Nathan Landsbaum, chief executive of Sunshine State Health Plan of Tampa, by Brian Meyer, AHCA assistant …

https://www.wusf.org/economy-business/2022-04-11/deadline-to-challenge-9-1-million-medicaid-fine-passes-for-sunshine-state-health

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The Biden administration wants a judge to dismiss Florida's …

(2 days ago) WebFlorida has challenged federal guidelines for the CHIP/KidCare program of subsidized health insurance for tens of thousands of children. The program provides …

https://www.wmnf.org/biden-administration-judge-dismiss-florida-challenge-childrens-health-insurance-guidelines/

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UnitedHealthcare alleges ‘flawed and illegal’ Medicaid …

(9 days ago) WebUnitedHealthcare has lodged a formal protest against the Florida Agency for Health Care Administration (AHCA), alleging procedural and legal flaws in the …

https://thecapitolist.com/unitedhealthcare-alleges-flawed-and-illegal-medicaid-procurement-process/

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Justice Department Files To Have Florida’s CHIP Lawsuit Dismissed

(8 days ago) WebThe Biden administration asked a federal judge Tuesday to dismiss Florida's suit challenging federal guidelines issued for the Children’s Health Insurance Program, …

https://kffhealthnews.org/morning-breakout/justice-department-files-to-have-floridas-chip-lawsuit-dismissed/

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Nearly 600,000 Florida kids lost Medicaid/CHIP - Health News …

(Just Now) WebNearly 600,000 children in Florida lost government health insurance last year when states began reviewing Medicaid eligibility again, according to a report published …

https://health.wusf.usf.edu/health-news-florida/2024-05-09/nearly-600-000-florida-kids-lost-medicaid-chip-during-2023-unwinding-report-shows

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Here's what's holding back Medicaid expansion in - Health …

(4 days ago) WebThe main disagreement in the Mississippi state legislature revolved around work requirements — recipients would have to show they were working part-time or in …

https://health.wusf.usf.edu/npr-health/2024-05-16/heres-whats-holding-back-medicaid-expansion-in-mississippi-and-other-southern-states

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Here's what's holding back Medicaid expansion in Mississippi and …

(7 days ago) WebFor Dr. Roderick Givens, Medicaid expansion isn't just a policy issue. He's a radiation oncologist practicing in a rural area in the Mississippi Delta and he sees how …

https://news.wgcu.org/2024-05-16/heres-whats-holding-back-medicaid-expansion-in-mississippi-and-other-southern-states

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2022 Summary of Benefits - Wellcare

(7 days ago) WebWellcare Dual Medicare (HMO D-SNP) We know how important it is to have a health plan you can count on. This is a summary of drug and health services covered by Wellcare …

https://wellcare.sunshinehealth.com/content/dam/centene/Sunshine/Advantage/PDFs/2022-FL-SB-H5190-001-MA.pdf

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