Provider News

March

Ambetter Health Taking Over Ear, Nose and Throat (ENT) Auths

03/24/25

Ambetter Health will administer authorizations for Ear, Nose and Throat (ENT) services for Ambetter Health members starting May 1, 2025. These services were previously provided by TurningPoint.

Evolent Offers Training for New Ambetter Health Cardiovascular Auths Program

03/11/25

Evolent is offering training sessions to Ambetter Health providers to prepare them for the upcoming transition of prior authorizations for cardiology services.

February

Evolent to Handle Ambetter Health Cardiovascular Auths

02/25/25

Ambetter Health has partnered with Evolent (formerly New Century Health), a comprehensive cardiovascular quality management company, to implement a new prior authorization (PA) program. The Evolent Cardiology Solution Program is designed to help providers easily and effectively deliver quality patient care.

Ambetter Health billing guidelines for routine foot care

02/11/25

Ambetter Health reimburses for routine foot care in accordance with state mandates and Centers for Medicare and Medicaid Services (CMS) guidelines.

November

Ambetter Health introduces Availity Editing Services

11/20/24

In a continuous effort to make it easier to do business with us, Ambetter Health is introducing Availity Editing Services (AES).

Razormetrics Bulletin

11/05/24

Lower drug costs for your patients are on the way.

October

Ambetter Health Plan Changes for 2025

10/24/24

Ambetter from Sunshine Health is grateful for your participation in our provider network and for the care you provide our members. Each year, we conduct a comprehensive review of our market operations and look for ways to improve member experience. That's why we're making these changes to our health plan offerings starting January 1, 2025.

Ambetter Health Solutions to Begin January 1, 2025

10/21/24

Ambetter Health Solutions is a new offering from Ambetter Health that will be available to individuals who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).

September

Ambetter HH/DME Outpatient Prior Authorization Request Guide

09/25/24

Ambetter from Sunshine Health wants to help Home Health (HH) and Durable Medical Equipment (DME) providers properly submit outpatient Prior Authorization (PA) requests for our members.

July

FLORIDA REPRODUCTIVE HEALTH BILLING REQUIREMENTS UPDATE

07/19/24

Beginning with services dated March 1, 2024, the billing requirements have changed for Reproductive Health Services in the State of Florida.

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Network Provider News | Ambetter from Sunshine Health