We provide all covered services. But they must be medically necessary. Some services may be limited. Some need a doctor’s order. Some need prior approval. Some Medicaid members may not have all the benefits listed.

Reform Counties: Baker, Broward, Clay, Duval, Nassau

• Reform Services Covered by Sunshine Health (PDF)

Non Reform Counties: All other Florida Counties

• Non-Reform Services Covered by Sunshine Health (PDF)

Value Added Benefits

Sunshine Health has developed a package of Value Added Services for Medicaid eligible. These services will enhance member benefits beyond the Medicaid Covered Services. The Value Added Services exceed Medicaid benefits. They were designed to improve members well being and encourage responsible and prudent use of healthcare benefits. They also enhance the cost effectiveness of the Florida Medicaid Program. You will find a description of Value Added Services in the Member Handbook.