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  • Prior Authorization Request Form - Sunshinehealth.com

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MEDICATION PRIOR AUTHORIZATION REQUEST FORM Is the request for a NONSPECIALTY MEDICATION DISPENSED BY A PHARMACY? YES Complete THIS form and FAX to 18663990929 NO Do NOT use this form. Complete the.

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Contact support

If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m. The call is free. Text your enrollment or frequently asked questions to 357662.

Prior approval is required for all services by a provider who is not in the Sunshine Health network. The only exception is for emergency care. Emergency room or urgent care visits do not require prior authorization.

Sunshine Health is a Florida Medicaid health plan that has been providing services in Florida since 2009.

If you need assistance, call (850) 412-4166.

Providers submitting a claim to Sunshine Health for the first time should submit a paper claim to Sunshine State health Plan, PO Box 3070, Farmington, MO 63640-3823, ATTN: Claims Department.

Contact the Provider Enrollment Contact Center for additional assistance at 1-800-289-7799, option 4.

For assistance contact 1-877-254-1055.

Florida's Medicaid application is free, and you can apply online, in person, or via telephone.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232