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Managed Care Notice

Information for patient families covered by Sunshine Health Medicaid Managed Care (MMA) or Healthy Kids plans

In early November, Sunshine Health sent a letter to families with children enrolled in a Sunshine Health Medicaid Managed Care (MMA) or Healthy Kids plan. The letter instructed them to select a new provider for their child’s care.

We want you to know that Johns Hopkins All Children’s is still a Sunshine Health plan provider through December 31 and we are working hard to reach an agreement with Sunshine Health. It is normal for health care providers and insurers to update their agreements every few years, and sometimes these discussions go right until the deadline.

We are concerned about your child’s ability to access care here and we want you to know about state requirements for continuity of care when an insurance plan makes a change:

  • If your child is already an inpatient at Johns Hopkins All Children’s Hospital on December 31, 2017, the hospital stay and physician services will be covered in-network for at least 60 days, and up to 6 months until your child is discharged or until the insurance company makes the decision that your child should be transferred (or discharged to) another provider.
  • If your child is in active treatment for a chronic or acute health condition and comes here for doctor visits, outpatient procedures and/or rehab services you have the right to continue these visits for up to 6 months even if Sunshine Health does not renew the contract. Please call our special Johns Hopkins All Children’s information line (see below) and we will explain the options for continuing care.
  • If you have an appointment scheduled during the next few months, or even after December 31, we hope that you don’t cancel the appointment yet. This may help avoid a delay in rescheduling later. We will call you before the appointment to let you know of any changes in coverage.

Here at Johns Hopkins All Children’s we have a special telephone line you can call for more information: 727-767-8284 or 1-800-456-4543, ext. 78284.

Please call between 8 AM and 5 PM Monday through Friday to speak to a staff member. If you get voicemail, leave a message with your daytime contact information. We will return your call the next business day.

Your child’s care is our top priority and we want to help minimize the impact of any potential changes on your child’s care. We will post updates on our website at www.HopkinsAllChildrens.org/mcnotice and send you another letter if needed.

Call 727-767-8284 for more Information


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