Sunshine health mileage reimbursement LARC;Reimbursement;Hospitals;Sunshine;Health Created Date: 5/13/2019 12:55:27 PM Sunshine Physical Health. As a result of this change, all CPT codes for ABA services provided to CMS Title 21 members will require prior authorization from Sunshine Health. We will mail you a copy of the trip log. You can calculate mileage reimbursement in three simple steps: Select your tax year. The pharmacy program does not cover all medications. Date of service submission guidance: Date of Service Health Plan Name Claim Type o The provider can substantiate that he continually pursued reimbursement from the patient until eligibility was discovered. ediba@centene. In addition, Sunshine Health staff is available Monday through Friday from 8 a. 1-844-477-8313 . The benefit information provided is a brief summary, not a complete description of benefits Jan 6, 2025 · Gas mileage reimbursement is an option if member has someone that can assist with transportation. Based on program performance, you are eligible Listing Websites about Sunshine Health Reimbursement Form. Case Management Our Case Management team can be reached Monday to Friday from 8 a. By creating a Sunshine Health account, you can: Change your Primary Care Doctor Mileage Reimbursement Guidelines Sunshine Health. Sunshine Health does not exclude people Jun 13, 2023 · Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, please log on to Ambetter. Date: 01/27/20 Sunrise, Florida. If a member says they are unable to utilize public transportation or gas mileage reimbursement, their health care provider will be required to fill out our Medical Necessity form. Sunshine Health Website . We selected a service provider to care for or provider reimbursement. Sunshine Health Plan, Children’s Medical Services Health Plan - Operated by Sunshine Health. Date: 03/14/18 Sunrise, Florida. Retain a copy of all receipts and documentation 3 days ago · Medical Foster Care billing and reimbursement guidelines overview (PDF) How to Apply for Your NPI Number (PDF) Hospital LARC Billing Instructions for Managed Care (PDF) Children's Medical Services (CMS) Health Plan Sunshine Health is a managed care plan with a Florida Medicaid contract. Lead analysts will continue to be eligible to receive reimbursement for caregiver training delivered via telemedicine in accordance with the behavior analysis fee schedule. Benefits: Weekly paid notes/billing Mileage reimbursement Health insurance stipend If you’re an experienced SLP, this woman-run Ambetter Health makes sure practitioners and providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes to ensure you receive quality care in a timely manner. 6037559 LogistiCare Reservations 1-877-659-8420 LogistiCare Ride Assist (Where’s My Ride?) 1-877-659-8421 NEW! Sunshine Health Florida Medicaid and Health Insurance Website . Sunshine Health is dedicated to helping Home Health Providers. Mileage Reimbursement Form (PDF) - Transportation log, mileage log, gas reimbursement. The benefit information provided is a brief summary, not a 6 days ago · Gas mileage reimbursement is an option if member has someone that can assist with transportation. Brave Health offers: Therapy (one-on-one or group) Psychiatry; Customized mental Special Programs. Cardiovascular Services Health Plan. Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (<14 weeks 0 day), transabdominal approach; single or first gestation FL MILEAGE REIMBURSEMENT TRIP LOG AND INVOICE DRIVER INFORMATION Driver’s Name Driver’s Address (Street) I have also received, read and agreed to the gas reimbursement guidelines. Dec 13, 2023 · Sunshine Health Plan Reservations Ride Assistance Medicaid 877-659-8420/TTY: 711 877-659-8421/ TTY: 711 Child Welfare 877-659-8420 /TTY: 711 877-659-8421/ TTY: 711 711 • Mileage reimbursement trips may be scheduledup to 30 days in advance but no later than the day of the appointment. All receipts. 55 $22. You can login or register. Please This 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, without having a contract in place. e. Sunshine Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. discover Sunshine Health Transportation Florida. 002, Provider Reimbursement Schedules and Billing Codes. Ambetter from Sunshine Health ID card (if you are an Ambetter member) or your transplant coordinator through the Center of Excellence. LogistiCare reimburses mileage for non-emergency medical Dec 13, 2023 · MILEAGE REIMBURSEMENT GUIDELINES . org; Delegated function: Coverage of Services (Behavioral Health), Provider Services Brave Health. Mission & Values. EST. The codes listed below are not a complete list. Centene Venture Company Florida, and Sunshine State Health Plan, Inc are Qualified Health Plan issuers in the Florida Health Insurance Marketplace. • Mileage reimbursement trips should be scheduled by calling LogistiCare’s reservation line at any of the following numbers Monday through Friday, 8:00a. IRS Increases the 2025 Standard Mileage Rate +1 (888) 255-8855 . Contact ModivCare to get a ride, Monday – Friday, 8 a. When completed this sheet is submitted for reimbursement. Sunflower Health Plan Gas %PDF-1. Prior Authorization Required. If you are a Sunshine Health Medicaid member, swimming lessons are available as an expanded benefit under your plan, although space is limited. Sunshine Health Plan Reservations Ride Assistance Medicaid 877-659-8420/TTY: 711 877-659-8421/ TTY: 711 Child Welfare 877-659-8420 /TTY: 711 877-659-8421/ TTY: 711 711 • Mileage reimbursement trips may be scheduledup to 30 days in advance but no later than the day of the appointment. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-866-796-0530 to speak directly to a customer service representative. *Denotes services that are behavioral health in lieu of services. com/sunshine-health or fax forms to 1-855-621-8962. Updated 01- 29 - 19 . The plan provides a comprehensive system of care centered around each child’s unique needs. Members, spouses or parents/guardians cannot get gas mileage Jun 13, 2023 · Eligible travel reimbursement is provided only for travel of more than 60* miles. Member Signature Member Name (Print) HEALTH ALLIANCE Offered by S'Simp1y United Humana SS Simply' healthcare sunshine health Community Care Download Prescription Claim Reimbursement Form - English (PDF) Download Prescription Claim Reimbursement Form - Spanish (PDF) Centene Venture Company Florida, and Sunshine State Health Plan, Inc. Allwell from Sunshine Health is pleased to partner with PaySpan Health to provide an innovative You are required to submit an encounter or claim for each service that you render to a Sunshine Health Enrollee. To make Jan 1, 2021 · As a Sunshine Health or WellCare of Florida network provider, you may be asked to identify member transportation needs, coordinate standing care orders or assist members with 1 day ago · Gas mileage reimbursement is an option if you have someone that can assist with transportation. To qualify for reimbursement, members can call Alivi or MTM Monday through Friday between 8 a. Sunshine Health provides a 24-hour help line to respond to requests for prior authorization. Success Management : Field representatives support key locations (i. Mileage Reimbursement Phone Number; Medicaid: 1-877-659-8420 (TTY 1-866-288-3133) Sunshine Health is a managed care plan Sunshine Health does not accept responsibility or liability for any loss or damage arising from the use of email. Family members or friends can take you to and from appointments and be reimbursed for miles. Each payment rule is sourced by a generally accepted coding principle. Eastern or submit a request form. Retain a copy of all receipts and documentation Bill Sunshine Health telehealth without the telemedicine modifiers GT, 95 or CR. If you’re an experienced SLP, this woman-run, therapist-owned business offers incredible support. Health (8 days ago) Transportation Mileage Reimbursement Process . Sunshine Health Plan Reservations Ride Assistance Apr 22, 2020 · Mileage Reimbursement Program Can a family member or friend drive you to your doctor? We have a program to pay your family 1-800-955-8770 de lunes a viernes, de 8 a. Prior-authorization requests are processed by Sunshine Health’s Utilization Management (UM) Department. Input the number of miles driven for business, charitable, medical, and/or moving purposes. Check with your transplant coordinator to confirm your minimum mileage requirement. Community-Based Wrap-Around Services* Mileage Reimbursement. S. Sunshine Health does not exclude people Sunshine Health’s Healthy Behaviors program aims to help members improve their health and wellness. 3 days ago · Reimbursement is available per mile. 1, 2021, Screening, Brief Intervention and Referral to Treatment (SBIRT) became a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as U. Sunshine Health Plan Reservations Ride Assistance Sunshine Health must resolve the standard appeal within 30 days and an expedited appeal within 48 hours. Health care services provided in a county health department, federally qualified health center, or a rural health clinic. If an authorization is required, the Transportation Vendor will submit the authorization request to the Health Plan after services have been requested . Institutional Care Program Sunshine Health knows that the more options our members have to talk to their healthcare providers, the better. The only exception is for emergency care. – 5 p. Listing Websites about Sunshine Health Transportation Florida. For forms and information related to the Kansas Mileage Reimbursement and the Meals and Lodging Programs for Sunflower Health Plan, please visit our page. Dec 13, 2023 · Sunshine Health Plan Mileage Reimbursement ; Medicaid ; 877-659-8420/TTY: 711 ; Child Welfare 877-659-8420/TTY: 711 Long Term Care 877-659-8420/TTY: 711 . Back-dated mileage reimbursement trip requests will Oct 12, 2023 · Access Mileage Reimbursement and Public Transportation Forms at www. 100% practice insurance coverage. Known as My Health Pays, the program lets members earn dollar rewards by completing healthy activities. com Provider Services Utilization Management Utilization Management Phone number:1-844-477-8313 and follow prompts for services required. You also have access to your healthcare information. Dec 13, 2023 · LogistiCare reimburses mileage for non-emergency medical appointments through its Mileage Reimbursement program. Services must be medically necessary and provided in a county health department, federally qualified health center, or a rural health clinic. Dial 988for confidential, free, 24/7/365 support from a trained counselor for mental health, substance use or suicidal crisis. or provider reimbursement. Join our growing team! We provide: 100% physical health benefit coverage. Sunshine Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Claim submissions for members who transitioned to Sunshine Health or CMS Health Plan with dates of service after October 1, 2021, must be billed to Sunshine Health. Contact information for . Cenpatico Behavioral Health Moving to Sunshine Health Provider Portal. SafeRide form. alivi . What is the mileage reimbursement process? When the member calls in their reservation, they should provide LogistiCare with the name and mailing address Sunshine Health utilizes InterQual They are used to help identify whether health care services are correctly coded for reimbursement. attached. Sunshine Health Secured Portal: • MFC providers can register for access to the Sunshine Health secured portal to submit claims when key provider information has been loaded into the Sunshine Health system. Remember the 988 Suicide & Crisis Lifeline - it’s like 911, but it’s 988. All mileage shall be shown from point of origin to point of destination and, when possible, shall be computed on the basis of the current map of the Department of Transportation. Eligible travel reimbursement is provided only for travel of more than 60 * miles. As a Sunshine Health or WellCare of Florida network provider, you may be asked to identify member transportation needs, coordinate standing care orders or assist members with completing mileage reimbursement trip logs. Prior approval is required for all services by a provider who is not in the Sunshine Health network. Provider Announcement: Starting on March 29, behavioral health information previously found on the Cenpatico website will move to the Sunshine Health provider portal. Transplant RECIPIENT Travel Reimbursement Form, completed legibly and in its entirety. Includes therapy, psychiatry and medication management services. Please keep photocopies of your bills, receipts, and supporting documentation for your personal records. Sunshine ABA covers 100% of your telehealth doctor visits! Sunshine ABA will pay for your mileage between service locations as an RBT! Join Our Team! Mileage Reimbursement. Sunshine Health Florida Medicaid and Health Insurance Website . LogistiCare administers our members’ transportation benefits. Health Improve. To enter our secure portal, click on the login button. For Providers landing page and Provider News. , Central time. Sunshine Health - Florida Medicaid Pre-Auth Form Webpage . Vendors Page . Sunshine Health Member Advocacy Escalations: 1-866-796-0530 ext. Back dated mileage reimbursement trip requests will not Sunshine Health has contracted with the following vendors for service: Access Behavioral Health (Medicaid, Child Welfare Specialty Plan, Serious Mental Illness, Children's Medical Services Health Plan). Customizable Platform. X . 1, 2021. Your Medicaid coverage now lasts a full year after you give birth. For Providers Page . administrative claims, which are received by Sunshine Health. Oct 12, 2023 · Mileage Reimbursement. We will pay that higher amount for the first 30 days. O. Behavioral health services provided to children (ages 0-18 years old) enrolled in a DCF program: Covered as medically necessary. Mileage Reimbursement Voucher PATIENT INFO First Name Last Name Date of Birth Medicaid # Phone # Voucher Code Member/Pickup Address City State Zip Instructions Dear provider, please verify the information on this voucher by filling out the below and faxing the signed voucher to Alivi at (305) 742-2561 Sunshine Health Provider Services at 1-844-477-8313. Monday through Friday to answer provider questions and respond to provider complaints, emergencies and notifications. Must be sent to: LogistiCare Claims Department. 19, 2024. SunshineHealth. Doula support: Pregnant members receive unlimited doula visits, in-person labor support and 24/7 on-call support for 37 weeks until birth. Back dated mileage reimbursement trip requests will not FLORIDA MILEAGE REIMBURSEMENT TRIP LOG. Eastern up to 30 days in advance but no later than the day of the appointment. Box 3070 Farmington, MO 63640-3823 Attn: Claims Department c. Public Transportation. The Sunshine Health utilization management program serves to: Ensure confidentiality of personal health information ; Initiate process improvement activities to enhance utilization management practices ; Make evidence-based decisions that take into consideration medical necessity, appropriateness and availability of benefits If you are unable to print a copy of the mileage reimbursement trip log, call us at 1-888-513-0703. English; Español; Kreyòl; Tiếng Việt; Português Health & Wellness: Health information on a variety of topics; Note: Sunshine Health’s Comprehensive Long Term Care members also have Medicaid coverage with Sunshine Health. See your dentist twice a year for regular cleanings and checkups. A new window will open. Procedure 20 | SUNSHINEHEALTH. Eastern. A log of miles traveled . com Provider Services • Alternatively, you can call Provider Services at 1-844-477-8313. Flu; Pharmacy Program; Prior Authorization Criteria ; Provider Resources. View our provider resources online now. View online or download now. If you have any questions, please call Alivi at (786) 441 -8500. 100% mental health benefit coverage. Providers who previously accessed the Behavioral Health secure portal through Cenpatico must create a new Sunshine Health Florida Medicaid and Health Insurance Website . com On or after Oct. Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, please log on to Ambetter. Your physical well-being is important to us. Jun 13, 2023 · 4. As your business partner, Sunshine Health wants to ensure that you are maximizing reimbursement opportunities by correctly documenting procedure codes, thereby reducing the risk of claims denials. Sunshine Health EIS Billing Guidelines-PAGE NOT FOUND. Lead analysts continue to remain eligible to receive reimbursement for caregiver training delivered remotely. o The provider has not filed a claim for this member prior to the filing of the Up to 150 minutes of brief behavioral health status assessments (no more than 30 minutes in a single day) No. For questions or concerns, please contact Sunshine Health Provider Services at 1-844-477-8313. Back dated mileage reimbursement trip requests will not Jun 13, 2023 · Transplant DONOR Travel Reimbursement Form, completed legibly and in its entirety. Call our 24-Hour Behavioral Health Crisis Line at 1-866-799-5321 (TTY 1-800-955-8770). bottom of page Ambetter from Sunshine Health • Claims Department-Member Reimbursement • P. Sunshine Health EIS Billing Guidelines-PAGE NOT FOUND IR-2024-312, Dec. Eligibility Verification; Login; Become a Provider. Back dated mileage reimbursements are not allowed. Learn more about the 2025 IRS mileage rates , and see the previous IRS mileage rates 2024 . Supply the member’s name and date of birth or the member’s Medicaid identification number and date of birth. WellCare of Florida: Contact your Provider Relations representative, or Provider Services at 1-866-334-7927. alivi. 1640 Phoenix Boulevard, Suite 110. and 5 p. Pay raises every quarter! $17-$25/hr IRS mileage reimbursement rate for medical travel is published on the IRS website at www. Book Online. Sunshine Health is a managed care plan with a Florida Medicaid contract. This is the log sheet for recording scheduled appointments. COM Infant Mental Health Pre & Post Testing Services In lieu of: Psychological Testing Code T1023HA . Department of Health and Human Services; National Institute of Health; National Heart, Lung, and Blood Institute Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma (Full Report July 2007) and Changes to the Guidelines (August 2008) National Institute of Health Asthma Management Guidelines: Focused Updates 2020 Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, please log on to Ambetter. completed form to Ambetter from Sunshine Health by mail . LogistiCare will reimburse mileage for non-emergency medical Alivi Transportation, guidelines for eligibility and submission for mileage reimbursement and the appropriate level of need of members Dec 6, 2024 · Mileage reimbursement trips may be scheduled up to 30 days before but no later than 24-hours before the appointment. WASHINGTON — The Internal Revenue Service today announced that the optional standard mileage rate for automobiles driven for business will increase by 3 cents in 2025, while the mileage rates for vehicles used for other purposes will remain unchanged from 2024. Find the Print Directory here, too. (AHCA) contractual requirement for the provision and reimbursement of a nursing facility (NF) stay for up to 120 days. 25 $314. In addition, Sunshine Health staff is available from 8 a. Limitations, co-payments and restrictions may apply. Provider Changes Adding Providers to Existing Group or Practice. Sunshine Benefits. In Florida, WellCare and Sunshine Health are bringing our health plans together to better serve our members, providers, partners and communities. The benefit information provided is a brief summary, not a complete description of benefits. That information includes: • Name • TIN/SSN Getting Help from Member Services. Sunshine Health Plan Reservations Ride Assistance Dec 13, 2023 · Sunshine Health Plan Reservations Ride Assistance Medicaid 877-659-8420/TTY: 711 877-659-8421/ TTY: 711 Child Welfare 877-659-8420 /TTY: 711 877-659-8421/ TTY: 711 711 • Mileage reimbursement trips may be scheduledup to 30 days in advance but no later than the day of the appointment. Please keep photocopies of your bills, receipts, and supporting documentation for your personal Do you need more information or have a question? Call Provider Services at 1-844-477-8313 Monday through Friday from 8 a. Sunshine Health P. Optional standard milage rates are used to calculate the deductible costs of operating If you lack a formal home health mileage reimbursement program, you’re missing out on several key benefits for your organization. This list of services below is not all inclusive. forty (40) days when submitted on paper (only red originals will be accepted) from the receipt of the claim. 1-844-477-8313. What is the mileage reimbursement process? Jun 13, 2023 · completed form to Ambetter from Sunshine Health by mail . More. This means they are optional services you can choose over more traditional services based on your individual needs. No. Emergency room or urgent care visits do not require prior authorization. Call Member Services at 1-866-796-0530 for more information. NOTE: Each trip will be confirmedwith the physician’s office before payments will be The updated 2022 fee schedules are available on AHCA’s reimbursement schedule page, Rule 59G-4. Sunshine Health covers prescription medications and certain over-the-counter medications with a written order from a Sunshine Health provider. edi-master@wellcare. Rule 59G-4. • • * This minimum mileage requirement varies by state Estimated Miles Reimbursement Amount PROVIDER VERIFICATION Please sign this mileage reimbursement voucher Printed Name Signature Phone # NPI # This form must be faxed from the providers office on the day of the medical appointment. irs. 6 days ago · Provider Reimbursement Schedules and Billing Codes; Sunshine Health Provider Billing Manual (PDF) Timely Claim Submission. All Mileage Reimbursement Trip Logs for Sunshine Health Medicaid and specialty plan members should be mailed to Alivi for payment at: Alivi Claims Department 2 days ago · All Mileage Reimbursement Trip Logs for Long Term Care and Comprehensive members should be mailed to Alivi for payment at: Alivi Claims Department 7205 Corporate Center Drive, Suite 404 Miami, FL 33126. Health Care; › Sunshine health mileage reimbursement form › Sunshine health ride assistance. Prior authorization is not required. See . achieving defined and measurable goals related to access, continuity of care, patient . 7 %µµµµ 1 0 obj >/Metadata 244 0 R/ViewerPreferences 245 0 R>> endobj 2 0 obj > endobj 3 0 obj >/ExtGState >/XObject >/ProcSet[/PDF/Text/ImageB/ImageC Mileage Reimbursement Guidelines Sunshine Health. Please refer to your contract with Sunshine Health to determine all contracted/covered codes for each membership. satisfaction, and clinical outcomes. This guide Beginning July 1, 2019, Sunshine Health will pay for LARC procedures completed during a member’s inpatient delivery stay in addition to the diagnostic related group, or DRG, rate. 1-866-477-6725; abhinfo@bhcpns. Sunshine Health cumple con las leyes de derechos civiles federales aplicables y no discrimina basándose en la raza, color, origen nacional, edad, discapacidad, o Gas mileage reimbursement is an option if you have someone that can assist with transportation. Sunshine Health at 1-844-877-8313 to update your address in our systems. A log of miles traveled. Virtual mental and behavioral health care for members 13 and older. Sunshine Health will pay the Medicaid FFS rate for these services, unless the provider was paid more. RETIRED DATE: N/A. Changes of Ownership (CHOW) Credentialing; Delegated Credentialing; Facility Credentialing ; Lan Participation Request Form; Pre-Auth Check. Payments are expedited when claims are submitted electronically. and agree to our reimbursement terms. Prior authorization is required for trips over 100 miles, meals, and lodging. Title: LogistiCare Transportation Tips Author: Sunshine Health Subject: Tips Keywords: LogistiCare Created Date : 6/10/2020 %PDF-1. 1-866-231-1821. Your dental benefits are not administered by Sunshine Health. Sunshine Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Sunshine Health members. Sunshine Health Customer Service for Managed Medical Assistance (MMA), Serious Mental Illness (SMI), and Children’s Medical Services Health Plan (CMS Health Plan), and Child Welfare (CW) products. 7 %µµµµ 1 0 obj >/Metadata 244 0 R/ViewerPreferences 245 0 R>> endobj 2 0 obj > endobj 3 0 obj >/ExtGState >/XObject >/ProcSet[/PDF/Text/ImageB/ImageC Reimbursement . When the summer heat rises off the asphalt and tourist season traffic fills the highways, Florida business drivers face unique challenges. When you enroll in Medicaid, you can select from these three statewide dental plans: DentaQuest 1-888-468-5509; Liberty 1-833-276-0850; MCNA Dental 1-800-282-3089; Dental Health Is Important. Sunshine Health Community Resource Database connects members and caregivers in need with local programs and supports. We regularly review the provider network and make decisions about which providers Screening, Brief Intervention and Referral to Treatment (SBIRT) Date: 08/05/21 Fort Lauderdale, Florida. All together now. gov. • Weekend and After-Hours on Call-Numbers: (all products): 1-844-477-8313. 00 82. We can help you choose or change your Primary Care Provider (PCP), find out if a service is covered, get referrals, find a provider, replace a lost ID card, report the birth of a baby and explain any changes that might affect you or your family’s benefits. Health Insurance Marketplace ; Medicare Advantage; Forward Supplier. Box 5010 • Farmington, MO 63640-5010 MEMBHELP SHEET / FAQs ER REIMBURSEMENT MEDICAL CLAIM FORM - Sunshine Health: Contact your Provider Relations representative, or Provider Services at 1-844-477-8313. You will Sunshine Health operates Children's Medical Services Health Plan on behalf of the Florida Department of Health, serving children and adolescents with special healthcare needs. com Sunshine Health Plan P. REVIEWED/REVISED DATE: 03/2018. Sunshine Health must approve in advance the services listed below. Eastern to answer provider questions and respond to provider complaints, emergencies and notifications. %PDF-1. com or call Member Services at 1-877-687-1169 (Relay Florida: 1-800-955-8770) Jan 6, 2025 · This outlines how to fill out the Mileage Reimbursement Trip Log. This completed and signed reimbursement form b. Download the 2022 BA fee schedule (PDF). Effective Jan. Seamless Access. LogistiCare administers your transportation benefit. If you have Long Term Care coverage only, the Medicaid benefits referenced on Key Contacts and Important Phone Numbers. Modifiers For rent-to-purchase equipment, Medicaid’s total reimbursement may not exceed a total of ten (10) monthly claims. Clean claims will be adjudicated (finalized as paid or denied) within twenty (20) days if electronically submitted (10 days for Nursing Homes) vs. Members, spouses or parents/guardians cannot get gas mileage reimbursement. $50 NOP Incentive: Providers eligible for a $50 incentive for each Notice of Pregnancy form sent to our Secure Provider Portal within 30 days of a member’s first prenatal visit. SunshineHealth. Home; Login; Contact; Your; District Resources; Facebook; Twitter; language. Box 5010 Sunshine Health offers many convenient and secure tools to assist you. CPT Codes Description 76801 . All receipts . the submission of claims for reimbursement of covered services. 80 Totals: †IRS mileage reimbursement rate for medical travel is published on the IRS website at www. The benefit information provided is a brief summary Jun 13, 2023 · 4. 1 Sunshine Health provides a 24-hour help line to respond to requests for prior authorization. at the phone Sunshine Health Plan Reservations Ride Assistance Medicaid 877-659-8420/TTY: 711 877-659-8421/ TTY: 711 Child Welfare 877-659-8420 /TTY: 711 877-659-8421/ TTY: 711 711 • Mileage reimbursement trips may be scheduledup to 30 days in advance but no later than the day of the appointment. Back dated mileage reimbursement trip requests will not Sunshine Health’s Town Hall training sessions give providers and their staff the chance to learn that latest about the policies and procedures that affect your patients, practice and business. Conversely, coding errors can result in lower quality scores and missed reimbursement opportunities. The benefit information provided is a brief summary, not a complete description of benefits Jan 8, 2025 · Gas mileage reimbursement is an option if you have someone that can assist with transportation. Exciting Opportunity for SLPs! Sunshine Speech Therapy, Mileage reimbursement. • Standard hours of operation:Monday to Friday from 8 a. Sunshine Health Attn: Centene Mgmt. Created Date: 6/19/2020 1:06:01 PM Trips over 100 miles one-way and out of the service areas/state require prior authorization, which LogistiCare will request from Sunshine Health’s Utilization Management department. General reason for the appointment (for example, health care provider visit, check-up, eye appointment) If you don’t have this ready when you call you may not be able to set up your ride. com or call Member Services at 1-877-687-1169 (Relay Florida 1-800-955-8770). Our Member Services department can answer all of your questions. to 8 p. PAY FOR PERFORMANCE (P4P) P. *Each date of service must have a physicianor clinician signature in order for reimbursement to be approved. Vicinity mileage necessary for the conduct of official business is allowable but must be shown as a separate item on the expense voucher. Bill the transportation vendor for covered non- emergency transportationservices and the Health Plan for covered emergency transportation services. Box 3070 Farmington, MO 63640 -3823 . Now, with the 2025 mileage rate set at $0. 002, Provider Reimbursement Schedules and Billing CodesFee ScheduleEffective DateAssistive Care Services Fee ScheduleUpdated Fee Schedule October 1, 2024Promulgated Fee Schedule 2024Behavior Analysis Our technology is branded to your health plan, and gives your members access to their card, transportation, and specialty benefits on a single platform. a 8 p. 3. What to do in a Behavioral Health Emergency. 5. Skip until Hauptstrecke Content. Mileage Reimbursement Phone Number; Medicaid: 1-877-659-8420 (TTY 1-866-288-3133) Sunshine Health is a managed care plan The Kansas Medicaid Handbook for members of Sunflower Health Plan tells you how our program works and what we offer. -- 5:00p. Centene Venture Company Florida, and Sunshine State Health Plan, Inc are Qualified Health Plan issuers in the Florida Health Insurance Marketplace Fee-for-service providers must seek traditional Full Enrollment in order to directly bill Medicaid for reimbursement. Since you will have received a pre-payment in the form Claims Reimbursement Edit . Read the full 2022-2023 evaluation (PDF). When the tenth and final payment is made for a specific The 2024 mileage reimbursement rate for business is 67 cents per mile, 21 cents for medical and moving miles, and 14 cents for miles in the service of charitable organizations. The provider may not submit a claim for more than one unit of service within the same calendar month. Health (1 days ago) Provider and Billing Manual - Medicare Advantage (PDF) PaySpan – EFT/ERA. Find articles on fitness, diet, nutrition, health news headlines, medicine, diseases. Mileage Reimbursement Trip Logs for Sunshine Health and Sunshine Health specialty plan members should be sent to Alivi for payment at: Fax: 1-855-621-8962 2 days ago · Gas mileage reimbursement is an option if you have someone that can assist with transportation. 70 per mile, those long drives between clients and properties have greater value than ever before. Humana Medical Plan members. Please refer to your contract with Sunshine Health to determine all contracted/covered codes for each membership group. PAGE: 1 of 3 SCOPE: Centene Corporate Health Insurance Marketplace (HIM), Ambetter Program PURPOSE: The following reimbursement policy applies to Centene Corporate Ambetter (HIM) commercial program. Co - Sunshine State Health Plan P. The benefit information provided is a brief summary, not a complete description of benefits Jun 13, 2023 · MEMBER REIMBURSEMENT MEDICAL CLAIM FORM (For Medical claims only - please complete one form per family member per provider ovider) ber per pr Instructions a. Table 2: CPT ® Codes Covered When Supported by Appropriate Diagnosis . MILEAGE LOG. If you are having an emergency, call 911. The program also helps members manage chronic conditions and build relationships with their providers. Procedure codes are denied when billed with a payment modifier that is inappropriate for Vehicle services equipped to transport standard sized and oversized wheelchairs if the member has specific mobility needs verified by their health care provider. * This minimum mileage requirement varies by state. Sunshine Health’s subcontractors and vendors. Medical necessity applies. All services must be medically necessary. If you are the provider for a Sunshine Health Enrollee and receive a monthly capitation amount for services, you must file a “proxy claim” (also referred to as an “encounter”) on a CMS 1500 for each service provided. Service Limits . Filter Type: All Symptom Treatment Nutrition Manuals, Forms and Resources - Sunshine Health. They include, but are not limited to claims processing guidelines referenced by the Centers for Medicare and Medicaid Services (CMS), Publication 100-04, Claims Sunshine Health provides the tools and support you need to deliver the best quality of care. If you have questions about this notice, please contact your Provider Engagement Administrator or call Sunshine Health Provider Services at 1-844-477-8313. Back dated mileage reimbursement trip requests will not Apr 19, 2012 · Mileage based on IRS rate Meals up to $75 per person per day, not to exceed Total Ex: 8/24/2019 $0 $210. The benefit information provided is a brief summary, not a complete description of benefits 2 days ago · Gas mileage reimbursement is an option if your child has someone that can assist with transportation. I also agree that no other agency can pay me completed form to Ambetter from Sunshine Health by mail : WITH RECEIPTS: and : MILEAGE LOG: attached. I agree that each trip shown above was for travel and mileage that is allowed. 1, 2021: Staywell Health Plans, Children's Medical Services Health Plans. Chat With You can use this mileage reimbursement calculator to determine the deductible costs associated with running a vehicle for medical, charitable, business, or moving. O Box 947986 Atlanta, GA 30394-7986. Creating an account is free and easy. Celtic Insurance Company is a Health Plan issuer in the Florida market. . Please check the resources below that will make it easier for you and your practice to serve members from Sunshine Health Medicaid and Ambetter from Sunshine Health Marketplace. AHCA released 1-844-477-8313 SunshineHealth. Mileage reimbursement. PRODUCT TYPE: Health Insurance Marketplace . You can also view more information about Sunshine Health in our Member Handbook. Mileage Reimbursement Trip Log. Providers may request an “expedited plan appeal” on their patients’ behalf if they believe that waiting 30 days for a resolution would put their life, health or ability to attain, maintain or regain maximum function in danger. < We created a Quick Reference Sheet to highlight transportation service providers. Ambetter from Sunshine Health, Attn: Claims Department - Member Reimbursement P. 4P is an activity-based reimbursement, with an incentive payment based on . When the tenth and final payment is made for a specific Including, but not limited to the following: health- focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires, health and behavioral interviews (individual, group, family (with or without the patient) Must be a non-Medicaid caregiver of a member; unlimited with prior authorization of reimbursement for providers. We offer over 240 language Apr 22, 2020 · Mileage Reimbursement Program Can a family member or friend drive you to your doctor? We have a program to pay your family member or friend for the car mileage. One year requirement will be waived if you or your covered dependent member had no legal Jun 13, 2023 · Total mileage to be paid: Total amount for this form: Batch #: Batch date: This information is private. Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, ontoAmbetter. New. com or call Member Services at 1-877-687-1169 (Relay FL 1 Download and review the member forms for Public Transportation Consent and Mileage Reimbursement Voucher documents. Subscribe to keep in touch! Subscribe. Box 5010 Jan 6, 2025 · Sunshine Health PO Box 459087 Fort Lauderdale FL 33345-9087 Phone: Sunshine Health is a managed care plan with a Florida Medicaid contract. 6 %âãÏÓ 734 0 obj > endobj 756 0 obj >/Filter/FlateDecode/ID[07C648AC51C50949BF63C5F586C80CC4>]/Index[734 35]/Info 733 0 R/Length 107/Prev 191786/Root 735 Ambetter Health is underwritten by Celtic Insurance Company, Centene Venture Company Florida, and Sunshine State Health Plan, Inc. Integrated Life Plan (PDF) Home A log of miles traveled. The health plan’s code editing software evaluates individual claim lines for invalid payment modifier to procedure code combinations. Our Blog. ALF Sunshine Health Plan Mileage Reimbursement ; Medicaid ; 877-659-8420/TTY: 711 ; Child Welfare 877-659-8420/TTY: 711 Long Term Care 877-659-8420/TTY: 711 . College Park, GA 30349. , SNF, ALF, MSO, IPA, PCP) in all aspects of our transportation program. Page 3 | 5 . Eligible t ravel reimbursement is provide d only for travel of more than 60 * miles. What the National Mileage Rate Means for Sunshine State Drivers. and . Behavioral Health Overlay Services. This policy applies to all directors, officers, and employees of Centene Corporation, its affiliates, health plans, and Except for emergency care, Sunshine Health must prior authorize any services to out-of-network providers and any elective inpatient admissions. These must be legible and match the information provided on this form . Your Primary Care Provider will work with you to make sure you get Be sure to call at least 24 hours before your doctor’s visit. WITH RECEIPTS. • • * This minimum mileage requirement varies by state. Send this completed form to Ambetter from Sunshine Health by mail . Pharmacy. Health insurance stipend. Provider Service Phone # Questions via email: Before Oct. m. Maximum of 40 units or 10 hours per calendar year. Back dated mileage reimbursements Dec 13, 2023 · MILEAGE REIMBURSEMENT GUIDELINES . Stay up to date on provider communication by visiting our . These must be legible and match the information provided on this form. LogistiCare reimburses mileage for non-emergency medical appointments through its Mileage Reimbursement program. Except for emergency care, Sunshine Health must prior authorize any services provided by an out-of-network provider and any elective inpatient admissions. egkled tjzgy upowkp tysgusic acav vjd xpcovp fffzl sprv ouok