Centene / Sunflower Health Plan
Welcome to the Centene/Sunflower Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Web site to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Leta Genasci.
Update on COVID-19
Documents
- Sunflower Health Plan Utilization Matrix
- Sunflower Health Plan Ordering Provider Quick Reference Guide
- Sunflower Health Plan Rendering Provider Quick Reference Guide
- Sunflower Health Plan FAQ
- Prior Authorization Checklist
- RadMD Flyer
- Ordering Provider Access to RadMD
- RadMD Quick Start Guide
- RadMD Upload Feature
- Provider Handbook
- Sunflower Health Plan Provider Resources
Physical Medicine
Effective June 1, 2020, physical medicine services (physical therapy, occupational therapy and speech therapy) will no longer be managed through a post-service review process. Therefore, beginning June 1, 2020, Sunflower Health Plan will implement a prior authorization of outpatient physical medicine services for its membership.
- Physical Medicine Provider Training PPT
- Physical Medicine Announcement Letter
- Physical Medicine Frequently Asked Questions
- Physical Medicine Quick Reference Guide
- Physical Medicine Checklist/Tip Sheet
Recorded General Trainings
Recorded RadMD Demos
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