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.
Update on COVID-19
Documents
- Sunflower Health Plan Utilization Matrix (PDF 544K)
- Sunflower Health Plan Ordering Provider Quick Reference Guide (PDF 320K)
- Sunflower Health Plan Rendering Provider Quick Reference Guide (PDF 382K)
- Sunflower Health Plan FAQ (PDF 344K)
- Prior Authorization Checklist (PDF 116K)
- Ordering Provider Access to RadMD (PDF 451K)
- RadMD Quick Start Guide (PDF 450K)
- RadMD Upload Feature (PDF 222K)
- Provider Handbook
- Sunflower Health Plan Provider Resources
Post Service Therapy
- Post Service Therapy Provider Training PPT (PDF 1,231K)
- Post Service Therapy Checklist (PDF 132K)
- Post Service Therapy RadMD Clinical Upload (PDF 220K)
- Post Service Therapy Frequently Asked Questions (PDF 344K)
- Post Service Therapist Provider Education (PDF 221K)
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