Sunshine Health Medicaid

Sunshine Health Medicaid is one among the insurance plans of Sunshine Health. The Medicaid insurance plan covers physical and behavioral healthcare. The Sunshine Health Medicaid insurance plan covers inpatient and outpatient services. The Hospital expenses are also covered under the plan. Sunshine Health provides support to apply, file claims, connect to providers, etc.

Sunshine Health Medicaid Contact

1-866-796-0530

Medicaid Help Line

1-877-254-1055

Schedule a Ride

1-877-659-8420

Sunshine Health Medicaid Claims Address

PO Box 3070, Farmington, MO 63640-3823

Sunshine State Health Plan Medicaid Claims Address

State health Plan, PO Box 3070, Farmington, MO 63640-3823.

Sunshine Health Medicaid Transportation

1-877-659-8420 between 8:00 a.m. and 5:00 p.m. Monday through Friday. (TTY:1-866-288-3133) Requests must be made 24 hours in advance.
Call at the mentioned phone number to schedule a ride under Medicaid insurance plan. The eligible members can ask for transportation to visit a hospital, medical center or diagnostic center.

Sunshine Health Medicaid Coverage

Medicaid insurance program by Sunshine Health offers various benefits to members. The coverage of the plan includes the following benefits:

Medical Services

The Medicaid program covers medically necessary services like preventive care treatments, surgeries and assertive care services.

Ambulance Transportation Services

Emergency transportation is provided to shift a patient to hospital or between healthcare facilities. The service is covered under medically necessary benefits.

Behavioral Health Assessment Services

This service includes identification and treatment of mental health issues. The program also covers treatment for substance abuse.

Child Health Services Targeted Case Management

Child under age 3 years are eligible to receive special treatment and healthcare facilities.

Durable Medical Equipment and Medical Supplies

The Medical program also offers medical equipment needed to manage a condition, illness, or injury. the items produced under this benefit include wheelchairs, braces, crutches, etc.

Therapies by Professionals

Sunshine Health Medicaid plan include therapies for families to manage various health and mental health issues. One to one individual therapy is also available under this program.

Laboratory Services

The insurance plan covers test of blood, urine, saliva and other items. Test services are used to identify conditions, illnesses or diseases.

Neurology Services

Services required to detect or treat brain, spinal cord or nervous system issues are also being covered under the insurance program.

Sunshine Health Medicaid Phone Number

1-866-796-0530
Call at the helpline numbers to seek support regarding the Medicaid plan, claims, enrollment and benefits.

Sunshine Health Medicaid Transportation Phone Number

1-877-659-8420 between 8:00 a.m. and 5:00 p.m. Monday through Friday.

Sunshine Health Medicaid Prior Authorization Phone Number

1-866-796-0530

Member Services

1-866-796-0530

Provider Services

1-844-477-8313

Emergency Contact

911

Nurse Advice Line

1-866-796-0530 option 7

To Change Your Doctor

1-866-796-0530

To Change Your Child’s Doctor

1-866-796-0530

Dental and Vision

1-866-796-0530

Pharmacy Service

1-866-796-0530

Connections

1-866-796-0530

Start Smart for Your Baby

1-866-796-0530

Transportation to Healthcare


Mental Health/Substance Abuse: 1-866-796-0530

Sunshine Health Medicaid Providers

Sunshine Health Medicaid program benefits are managed and served through providers. The providers network includes healthcare professionals, licensed healthcare centers, nurses, diagnostic centers and others.

Sunshine Health Medicaid Provider Contact

Provider Services Representative

1-844-477-8313

For Questions on Medical or Behavioral Health Authorizations

1-844-477-8313

For Questions on the Formulary or a Drug

1-800-311-0539

For Questions on Specialty Drugs

1-866-796-0530

For Questions on Advanced Imaging

1-877-807-2363

For Questions on Arranging Covered Transportation

1-866-381-4853

Sunshine Health Medicaid Login

The login is used to navigate through the online resources and services of Sunshine Health insurance Company. Follow the below steps to login:
  1. Go to the official web portal of Sunshine Health
  2. Select an option under "I am a" dropdown menu
  3. Select a plan i.e. "Medicaid" under dropdown menu of "My plan is"
  4. Click on "Submit"
  5. Enter a Username (Email) and click on "Login"

Sunshine Health Medicaid Florida

Sunshine Health Medicaid has various offices in Florida. Check the table below to collect contact information.
Escambia, Okaloosa, Santa Rosa, Walton(800) 303-2422
Bay, Franklin, Gulf, Holmes, Jackson, and Washington(800) 699-7068
Calhoun, Gadsden, Jefferson, Leon(800) 248-2243
Alachua, Bradford, Columbia, Dixie(800) 803-3245
Citrus, Hernando, Lake, Marion and Sumter(877) 724-2358
Baker, Clay, Duval, Flagler, Nassau(800) 273-5880
Pasco, Pinellas(800) 299-4844
Hardee, Highlands, Hillsborough, Manatee, Polk(800) 226-2316
Orange, Osceola, Seminole, and Brevard(877) 254-1055

Contact by Scan

Contact Sunshine Health Medicaid by Scanning this QR Code

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