Sunshine Health Medicaid Sanctions

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Florida Medicaid hits Sunshine Health with $9M sanction for not …

(1 days ago) WEBThe state is giving Sunshine 30 days to pay the fine of $9,092,025. Sunshine has 21 days to contest the fines and sanctions. Though Sunshine representatives have said the held-up payments have

https://floridapolitics.com/archives/510955-florida-medicaid-hits-sunshine-health-with-9m-sanction-for-not-paying-providers-claims/

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Florida’s largest Medicaid payment vendor must pay nearly $9.1

(1 days ago) WEBSunshine State Health Plan Inc. of Tampa had until 5 p.m. Thursday to dispute the large fine imposed last month by its government regulator, the Agency for …

https://www.wuft.org/fresh-take-florida/2022-04-08/floridas-largest-medicaid-payment-vendor-must-pay-nearly-9-1-million-after-missing-deadline-to-challenge-government-fine

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Medicaid Health Plans Hit With $23.1M in Liquidated Damages, …

(1 days ago) WEBIncluded in the $11.7 million Sunshine figure is a whopping $9.1 million sanction, the largest sanction levied against a plan in the statewide Medicaid managed care …

https://members.homecarefla.org/provider-updates/Details/medicaid-health-plans-hit-with-23-1m-in-liquidated-damages-sanctions-for-208-complaints-last-year-131127

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Florida fines Medicaid insurer Sunshine Health for claim denials

(7 days ago) WEB0:21. Florida’s Agency for Health Care Administration, which is responsible for administering the state’s Medicaid program, has issued a fine of over $9 million to …

https://www.ocala.com/story/news/healthcare/2022/04/03/florida-fines-medicaid-insurer-sunshine-health-claim-denials/7216226001/

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Florida fines largest Medicaid payment vendor - Health News …

(5 days ago) WEBSunshine State previously said the glitches stemmed from the company's merger on Oct. 1 with the second-largest payment vendor, WellCare of Florida Inc. …

https://health.wusf.usf.edu/health-news-florida/2022-03-24/florida-fines-largest-medicaid-payment-vendor-nearly-9-1-million-over-billing-glitches

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Medicaid Managed Care Accountability: How States Use Sanctions

(4 days ago) WEBThe state’s Department of Health Care Services (DHCS) recently announced sanctions on twenty-two MCOs for poor performance on quality measures related to …

https://healthlaw.org/medicaid-managed-care-accountability-how-states-use-sanctions/

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Florida Medicaid hits Sunshine Health with $9M sanction for not …

(8 days ago) WEBThe temporary enrollment ban impacts the Medicaid managed medical assistance and Medicaid managed long term care plans. “The Agency for Health Care …

https://www.mostlymedicaid.com/florida-medicaid-hits-sunshine-health-with-9m-sanction-for-not-paying-providers-claims/

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Florida failed for nearly 3 months to pay tens of thousands of …

(8 days ago) WEBThe Agency for Health Care Administration said in a statement it was considering “all available recourse options” to punish Sunshine Health — including …

https://www.tampabay.com/news/health/2022/02/14/florida-failed-for-nearly-3-months-to-pay-tens-of-thousands-of-health-claims-for-children/

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Office of Medicaid Program Integrity Florida Agency for Health …

(6 days ago) WEBThe Office of Medicaid Program Integrity audits and investigates providers suspected of overbilling or defrauding Florida's Medicaid program, recovers overpayments, issues …

https://ahca.myflorida.com/health-care-policy-and-oversight/office-of-medicaid-program-integrity

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State hits managed care plans for damages - Duval County …

(4 days ago) WEBThe managed care plans do, however, have to disclose if a state imposes sanctions --- which are not the same as liquidated damages --- against them. A review …

https://www.dcmsonline.org/news/567274/State-hits-managed-care-plans-for-damages.htm

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Florida Medicaid & Health Insurance Sunshine Health

(1 days ago) WEBDiscover job opportunities with Sunshine Health Works. We urge all providers to utilize the prior authorization form alongside the dedicated fax line for …

https://www.sunshinehealth.com/

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Contact Us Florida Medicaid Sunshine Health

(6 days ago) WEBPlease fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry. If …

https://www.sunshinehealth.com/contact-us.html

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Florida Medicaid Options & Plans Sunshine Health

(7 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.html

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Managed Care Sanctions: An Important Tool for Accountability

(2 days ago) WEBNational Health Law Program December 19, 2022 Managed Care Sanctions: An Important Tool for Accountability 3 mode of service delivery. 3 On the low end, 4.7% and 11% of …

https://healthlaw.org/wp-content/uploads/2022/12/Managed-Care-Sanctions_DY-updated-final.pdf

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Florida’s largest Medicaid payment vendor must pay nearly $9.1M …

(8 days ago) WEBSunshine State Health Plan Inc. of Tampa had until 5 p.m. Thursday to dispute the large fine imposed last month by its government regulator, the Agency for …

https://floridapolitics.com/archives/515434-floridas-largest-medicaid-payment-vendor-must-pay-nearly-9-1m-after-missing-deadline-to-challenge-government-fine/

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Cityblock, Sunshine Health Partner to Deliver Primary Care to …

(5 days ago) WEBWhat You Should Know: – Cityblock, a value-based healthcare provider specializing in Medicaid, announced a new partnership with Sunshine Health, a Florida …

https://hitconsultant.net/2024/05/21/cityblock-sunshine-health-partnership/

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Find a Healthcare Provider - Ambetter Health

(3 days ago) WEBSearch without logging in. Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in …

https://guide.ambetterhealth.com/

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Alpharetta road closing Tuesday for fatal crash investigation

(7 days ago) WEBThe single-vehicle crash occurred on May 14 when the driver of the car lost control, and the car flipped upside down and crashed into the tree line.

https://www.11alive.com/article/traffic/alpharetta-road-close-fatal-crash-investigation/85-93e65483-5615-4417-abb2-086677de1c7c

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MILEAGE REIMBURSEMENT GUIDELINES - Sunshine Health

(Just Now) WEBSunshine Health Plan Reservations Ride Assistance . Medicaid 877-659-8420/TTY: 711 877-659-8421/TTY: 711 711 Long Term Care 877-659-8414/TTY: 711 877-659 …

https://www.sunshinehealth.com/content/dam/centene/Sunshine/pdfs/V4%20MILEAGE%20REIMBURSEMENT%20GUIDELINES.pdf

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Former NH doctor pleads guilty to scheme to $1.9 million …

(8 days ago) WEBSteven Powell, 53, who now lives in Alpharetta, Georgia, pleaded guilty to a single count of health care fraud and will return to New Hampshire on Aug. 30 to be …

https://www.unionleader.com/news/courts/former-nh-doctor-pleads-guilty-to-scheme-to-1-9-million-medicare-ripoff-scheme/article_c286b3ce-ed46-518c-a583-1c7dc5bdbcd0.html

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Krispy Kreme donates 50% of sales to Sunshine Foundation - Yahoo

(1 days ago) WEBRhea, a Singapore- and New York-based reproductive health service provider, aims to tackle this challenge by bridging the global value chain and using technology.

https://www.yahoo.com/news/krispy-kreme-donates-50-sales-151138530.html

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Sunshine Health Works Sunshine Health

(6 days ago) WEBSunshine Health Works: A Pathway to Prosperity. Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is …

https://www.sunshinehealth.com/newsroom/sunshine-health-works.html

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Maine’s health department rarely investigates when residents …

(4 days ago) WEBFrom 2020 to 2022, the health department imposed sanctions against only two residential care facilities for failing to prevent their residents from wandering away, …

https://www.bangordailynews.com/2024/05/28/state/state-health/maine-long-term-care-facilities-elopement-penalties/

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Hungary's foreign minister visits Belarus despite EU sanctions, talks

(Just Now) WEBTALLINN – Hungary's top diplomat visited Belarus on Wednesday for talks on expanding ties despite the European Union's sanctions against the country.. Hungarian …

https://www.clickondetroit.com/business/2024/05/29/hungarys-foreign-minister-visits-belarus-despite-eu-sanctions-talks-about-expanding-ties/

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