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Reminder of Required Provider Actions

Date: 04/21/25

A Message for All Providers. Please share with your team.

Reminder of the actions providers are contractually obligated to complete.

Sunflower Health Plan is committed to making it easier for providers to work with us.  We've developed a checklist to help ensure you are meeting the required obligations.

Ambetter & Wellcare Providers - QUARTERLY

Medicaid, Ambetter and Wellcare Providers - ANNUAL

  • Cultural Competency Training – Have you completed Cultural Competency training this year? Complete and confirm you have completed the training. We'll send you a certificate of completion.
  • Find a Doctor – Review our Find A Doctor page to ensure your company and/or practitioner information is accurate. See our Provider/Practitioner Changes page if you need to make changes.
  • CAQH Review - Have you replaced expired CAQH documents this year? Visit the CAQH site.

Medicaid Providers

  • KMAP Revalidation - Have you revalidated your KMAP enrollment within the last 2-3 years?  Visit the KMAP Provider Enrollment Portal to revalidate your provider details.

Medicaid HCBS Providers - ANNUAL

  • Annual Audit - Are you staying up to date with your employee background checks? Visit KMAP General Bulletin 24271 to see more information.

Wellcare Providers - ANNUAL

  • Model of Care – Have you completed Model of Care training this year?  Complete and confirm you have completed the training.
  • Fraud, Waste & Abuse (FWA) - Have you completed FWA training this year?
  • Medicare Provider Compliance - Have you reviewed the Medicare Provider Compliance Tips this year?  Review the tips related to the services you provide.

Medicaid Providers - Please be aware, KDHE requires our Provider Relations team to reach out to you, at minimum, twice a year. Please make time to return their phone calls.

If you have questions about this bulletin or other provider resources, please contact your Provider Relations Representative or call us at the numbers below.