Does Sunshine Health cover visits with a psychiatrist?
Yes. Sunshine Health covers psychiatric services for eligible members, including psychiatric evaluations, medication management, and ongoing treatment for mental health conditions. Sunshine Health also supports behavioral health care as part of its integrated medical and mental health benefits. (Sunshine Health Medicaid Member Handbook, 2025)
Do Sunshine members need a referral to visit a psychiatrist?
Yes. Sunshine members with behavioral health needs or substance use conditions need a referral from a primary care provider to see a psychiatrist. (Sunshine Health)%2C%20SMI%2C%20and%20Ambetter%20(Marketplace)%20members.)
Does Sunshine Health offer virtual mental health services?
Yes. Sunshine Health offers mental and behavioral health care for members 13 and older. The services include therapy, psychiatry, customized medical health treatment plans, support groups and specialty programs, and medication management. (Sunshine Health)
What kinds of behavioral health assessment services are included under the Sunshine Health Medicaid plan?
Under the Sunshine Health Medicaid plan, members receive the following behavioral health assessment services: one initial assessment per year, one reassessment per year, and up to 150 minutes of brief behavioral health status assessments, which cannot exceed 30 minutes in a single day. (Sunshine Health Medicaid Member Handbook, 2025)
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