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On February 21, 2024, Change Healthcare experienced a cyber security incident.
Any individuals impacted by this incident will receive a letter in the mail.
Reach out to the contact center at 1-866-262-5342. More from Change Healthcare
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SEARCH MENU


On February 21, 2024, Change Healthcare experienced a cyber security incident.
Any individuals impacted by this incident will receive a letter in the mail.
Reach out to the contact center at 1-866-262-5342. More from Change Healthcare
External Link
Go!
 * Login
 * Find a Provider
   * Medicaid
   * Long Term Care
   * Child Welfare
   * Serious Mental Illness Plan
   * Children's Medical Services Health Plan
   * Contact Us
   * Medicare
 * For Members
   * Medicaid
     * Benefits and Services
     * Chronic Conditions
     * Community Resources
     * Find a Provider
     * Health & Wellness
     * How to Enroll
     * Login
     * Medicaid News
     * Member Resources
     * Provider Directories
   * Comprehensive Long Term Care
     * Benefits and Services
     * Caregiver Resources
     * Chronic Conditions
     * Community Resources
     * Find a Provider
     * Health & Wellness
     * How to Enroll
     * Login
     * Medicaid-Comprehensive Long Term Care News
     * Member Resources
     * Provider Directories
   * Child Welfare
     * Adoptive Families
     * Benefits & Services
     * Chronic Conditions
     * Community Resources
     * Health & Wellness
     * How to Enroll
     * Medicaid News
     * Member Resources
     * Provider Directories
   * Serious Mental Illness
     * Benefits and Services
     * Chronic Conditions
     * Community Resources
     * Find a Provider
     * Health & Wellness
     * How to Enroll
     * Login
     * Medicaid News
     * Member Resources
     * Provider Directories
   * Children’s Medical Services Health Plan
     * Children's Medical Services Health Plan (KidCare)
     * Benefits and Services (Medicaid)
     * Community Resources
     * Find a Provider
     * Health & Wellness
     * How to Enroll (Medicaid)
     * Medicaid News
     * Member Resources
     * Provider Directories
     * Your Child's Diagnosis
   * Health Insurance Marketplace
   * Medicare Advantage
 * For Providers
   * Become a Provider
     * Change of Ownership (CHOW)
     * Credentialing
     * Delegated Credentialing
     * Facility Credentialing
     * Network Participation Request Form
   * Behavioral Health
     * Assessment Tools
     * Become a BH Provider
     * Behavioral Health Benefits and Member Supports
     * In Lieu of Services Resource Guide
     * METS
     * OTR Tips
     * Partnerships in Care Program
   * Billing and Claims
   * Contact Us
   * Demographic Updates
   * Eligibility Verification
   * Login
   * Pharmacy
     * Flu
     * Pharmacy Program
     * Prior Authorization Criteria
   * Pre-Auth Check
   * Provider Engagement Account Managers
   * Provider News
   * Provider Resources
     * ALF Supports and Resources
     * Assessment Tools
     * Early Intervention Services
     * Electronic Transactions
     * Grievances and Appeals
     * Home Health
     * ICD-10 Overview
     * Integrated Care
     * Manuals, Forms and Resources
     * Maternity Benefits and Member Supports
     * Newsletters
     * Patient Centered Medical Home Model
     * Provider Complaints
     * Risk Adjustment Coding Guidelines
     * Provider Demographic Updates
   * Provider Training
     * EPSDT Provider Training
     * Fraud, Waste and Abuse
     * Model of Care Provider Training
     * Opioid Training Toolkit
   * Quality Improvement
     * CAHPS
     * CAHPS Corner
     * Gaps in Care
     * Medical Records Requirements
     * Practice Guidelines
     * Providing Quality Care
     * Hand Hygiene
   * Resource Guides
   * Telemedicine
   * Utilization Management
     * Clinical & Payment Policies
     * Continuity of Care
     * Incentives Statement
     * Therapy
   * Value-Based Incentive Programs
     * Community Success Co-Stars Program
     * Maternity Incentives
   * Vendors
     * Cardiac
     * Electronic Visit Verification
     * ENT
     * Musculoskeletal
     * Oncology
     * Radiology
     * Therapy
     * Transportation
 * Get Insured
 * About Us
   * Careers
   * Search Jobs
 * Contact Us
 * Newsroom
   * Get to Know Us Grants
 * Supporting Florida Communities
   * Community Connections
   * Giving Back
   * Welcome Rooms

 * Home
 * Login
 * Contact
 * Careers
 * Community ResourcesExternal Link
 * Facebook
 * Twitter


language
 * English
 * EspañolExternal Link
 * Kreyòl
 * Tiếng Việt
 * Português
 * 中文
 * Français
 * Tagalog
 * Русский язык
 * العربية
 * Italiano
 * Deutsch
 * 한국어
 * Polski
 * ગુજરાતી
 * ไทย


 * Find a Provider
   * Medicaid
   * Long Term Care
   * Child Welfare
   * Serious Mental Illness Plan
   * Children's Medical Services Health Plan
   * Medicare
 * For Members
   * Medicaid
   * Comprehensive Long Term Care
   * Child Welfare
   * Serious Mental Illness
   * Children’s Medical Services Health Plan
   * Health Insurance Marketplace
   * Medicare Advantage
 * For Providers
   * Become a Provider
   * Behavioral Health
   * Billing and Claims
   * Contact Us
   * Demographic Updates
   * Eligibility Verification
   * Login
   * Pharmacy
   * Pre-Auth Check
   * Provider Engagement Account Managers
   * Provider News
   * Provider Resources
   * Provider Training
   * Quality Improvement
   * Resource Guides
   * Telemedicine
   * Utilization Management
   * Value-Based Incentive Programs
   * Vendors
 * Get Insured
 * Supporting Florida Communities
   * Community Connections
   * Giving Back
   * Welcome Rooms


ONE PLAN.


ALWAYS COVERED.

Our health insurance programs are committed to transforming the health of the
community one individual at a time.

/content/dam/centene/Sunshine/images/MMA-hero.png
 * Medicaid
 * Comprehensive Long Term Care
 * Child Welfare
 * Serious Mental Illness
 * Children’s Medical Services Health Plan
 * Health Insurance Marketplace
 * Medicare Advantage




WEATHER ALERT

MEMBERS

Emergency Planning: As we prepare for the latest storm, please remember to
follow your Emergency Plan, if needed. If you do not have one, visit
FloridaDisaster.org to help prepare for the stormExternal Link.

Medication Refills: Gov. Ron DeSantis declared a state of emergency for Alachua,
Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charlotte, Citrus, Clay,
Collier, Columbia, DeSoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden,
Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands,
Hillsborough, Holmes, Indian River, Jackson, Jefferson, Lafayette, Lake, Lee,
Leon, Levy, Liberty, Madison, Manatee, Marion, Martin, Miami-Dade, Monroe,
Nassau, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas,
Polk, Putnam, Santa Rosa, Sarasota, Seminole, St. Johns, Sumter, Suwannee,
Taylor, Union, Volusia, Wakulla, Walton and Washington counties. You may refill
your prescriptions early in those counties. Contact your pharmacy for
information.

Member Services: Sunshine Health and CMS Health Plan Member Services are open as
usual from 8 a.m. to 8 p.m. Monday-Friday. Members call any time to reach our
24-hour Nurse Advice Line.

 * Sunshine Health MMA: 1-866-796-0530 (TTY 1-800-955-8770)
 * Sunshine Health Child Welfare Specialty Plan: 1-855-463-4100 (TTY
   1-800-955-8770)
 * Children’s Medical Services (CMS) Health Plan: 1-866-799-5321 (TTY
   1-800-955-8770)

Note: We will update this website as new information is available.
Please take steps to be safe. Call 911 if you have a medical emergency during
the storm.


REMEMBER THE 988 SUICIDE & CRISIS LIFELINE

Dial 988 for confidential, free, 24/7/365 support from a trained counselor for
mental health, substance use or suicidal crisis.



PRIVATE DUTY NURSING (PDN) REAL-TIME REPORTING PROCESS

We want to ensure that your child is receiving the services required to keep
them safe in your home. Please contact Sunshine Health right away when a Private
Duty Nursing shift is missed. Learn how to reach us:

 * Medicaid (MMA)
 * Long Term Care (LTC)
 * Serious Mental Illness (SMI) Specialty Plan
 * Child Welfare Specialty Plan (CWSP)
 * Children's Medical Services (CMS) Health Plan


HEALTH INSURANCE MARKETPLACE PLAN

Ambetter from Sunshine Health is our Health Insurance Marketplace product. Learn
more!


GET INSURED

Get more information on the health coverage we provide and what you are eligible
for.


CHILDREN'S MEDICAL SERVICES HEALTH PLAN

Children's Medical Services Health Plan Operated by Sunshine Health is a plan
for children and youth less than 21 years old with serious, chronic conditions.
Learn more!





NEWSROOM


SUNSHINE HEALTH ENDS PARTNERSHIP WITH HEALTH NETWORK ONE

Effective December 31, 2024


NEW PROVIDER DEMOGRAPHIC UPDATES FORM IS FASTER, EASIER TO USE

This will help patients find out about your practice.

 * centene:advantage
 * centene:medicaid



 * Home
 * Newsroom
 * About Us
 * Contact Us
 * Careers

 * Notice of Privacy Practices
 * Terms & Conditions
 * Language Assistance
 * Non-Discrimination Notice
 * Site Map
 * Report Fraud, Waste and Abuse

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Sunshine Health is a managed care plan with a Florida Medicaid contract. The
benefit information provided is a brief summary, not a complete description of
benefits. Limitations, co-payments and restrictions may apply. Benefits,
formulary, pharmacy network, premium and/or co-payments/co-insurance may change.
For more information contact the Managed Care Plan.




 

Sunshine Health


P.O. Box 459089
Fort Lauderdale, FL 33345-9089

Phone: 1-866-796-0530
TTY: 1-800-955-8770
Monday-Friday 8 a.m.-8 p.m. Eastern

You will need Adobe Reader to open PDFs on this site.

Download the free version of Adobe Reader.External Link

External Link

You will need Adobe Reader to open PDFs on this site.

Download the free version of Adobe Reader.External Link

External Link

Sunshine Health is a managed care plan with a Florida Medicaid contract. The
benefit information provided is a brief summary, not a complete description of
benefits. Limitations, co-payments and restrictions may apply. Benefits,
formulary, pharmacy network, premium and/or co-payments/co-insurance may change.
For more information contact the Managed Care Plan.

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