Ambetter HH/DME Outpatient Prior Authorization Request Guide

Date: 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. So we put together a quick reference guide to help take you through the process.

Select the link below to download the QRG: Ambetter HH/DME Prior Authorization QRG (PDF)External Link

Resources for Home Health Providers

We created an online resource at SunshineHealth.com/Home-healthExternal Link to help HH/DME providers address all their issues. You’ll find the reference guides, forms and information you need.

Questions?

If you have questions, please contact your Provider Engagement Account ManagerExternal Link, call Ambetter Provider Services at 1-877-687-1169 or check the Ambetter Provider Resources page. Stay up to date on Sunshine Health provider notices by reviewing and bookmarking Provider NewsExternal Link.