Ambetter from Sunshine Health
Welcome to the Ambetter from Sunshine Health page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Web site to obtain and check authorizations.
Documents
- Announcement Letter (PDF 44K)
- Frequently Asked Questions (PDF 243K)
- Quick Reference Guide For Imaging Facilities (PDF 320K)
- Quick Reference Guide For Ordering Physicians (PDF 297K)
- Utilization Review Matrix 2019
Click here to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA