Sunflower Medicaid Provider Manual Revised

Date: 05/29/24

Revision Now Available

The Sunflower KanCare provider manual has been updated and is now available in the Provider Resources of the Sunflower website.

The manual changes include the following:

Provider Manual Section	What Was Updated?	Page Number
Key Contacts and Important Phone Numbers	Removal of occupational and speech from prior authorization (PA) outpatient/home health physical therapy Replacement of TurningPoint with Evolent contact information on musculoskeletal surgical services	Page 4
Benefit Explanation and Limitations	Addition of doula services.	Page 29
Prior Authorizations and Notifications	Removal of occupational and speech from prior authorization requirement.	Page 42
Therapy Services	Removal of occupational and speech from prior Authorization requirement. Addition of paragraph with the need for providers to register for 8 auto-approved therapy sessions.	Page 44
Population Health	Interventional Pain Management - new section.	Page 45
Population Health	Musculoskeletal Care Management - new section.	Page 45
Peer-to-Peer (P2P)	Removal of speech and occupational therapy reference.	Page 51
Where to Send Provider Claim Appeals	Removal of speech and occupational therapy reference.	Page 79

Thank you for your partnership with Sunflower Health Plan. If you have questions about this bulletin or other provider resources, please contact your provider network specialist or call Customer Service at 1-877-644-4623.