Provider Training

Welcome to Sunflower Health Plan. We thank you for being part of our network of participating physicians, hospitals and other healthcare professionals.

Note: When registering/attesting, you must use a valid email address and the TIN should be entered in ######### format (no dashes please).

We Welcome Your Feedback

We strive to give our providers excellent service. Please share your feedback on the Sunflower provider-training experience to help us meet that goal.

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Office Hours 

NOTE: Office Hours frequency has changed to twice a month at 8:30 am on Tuesdays beginning July 25.

Join us for office hours during which you can get your questions answered. We will have recurring, bimonthly 30-minute sessions during which any provider is welcome to attend.

Access all sessions through the Office Hours Zoom link. Each session will begin at 8:30 a.m. on the following schedule:

  • Feb 20, 2024
  • Mar 5, 2024
  • Mar 19, 2024
  • Apr 2, 2024
  • Apr 16, 2024 - CANCELLED
  • April 30, 2024
  • May 14, 2024
  • May 28, 2024
  • June 11, 2024
  • June 25, 2024

Registration is not required for these sessions. Click the link above at 8:30 a.m. on the day of the Office Hours you wish to attend.

On-Demand Webinars

Training at your fingertips! Access webinars anytime, anywhere. On-demand sessions available:

All Sunflower network providers are required to complete cultural competency training, per the Centers for Medicare and Medicaid Services (CMS).

Ambetter New Provider Orientation - All new Ambetter network providers are required to complete Ambetter New Provider Orientation training.

Sunflower KanCare/Medicaid New Provider Orientation - All new Medicaid network providers are required to complete the Sunflower Medicaid New Provider Orientation training.

Wellcare By Allwell (Medicare) Training Resources - Visit this page for the Medicare orientation, model of care training and more.

Recredentialing Overview - This training presentation video outlines the process for recredentialing for all providers. Please be sure to turn the sound on.

Questions and Answers from Recredentialing Webinar

Q:   Is there a different process for physical health providers vs. LTSS vs. SNF vs. DME providers?  I would expect they would need to provide different documents, but the general process would be the same.

A:   We divide our initial and recredentialing into practitioners (the people providing care) and providers/facilities (the places providing care).  For practitioners, we rely on the practitioner’s profile in CAQH for the application and other non-primary source verification required documents, but for providers/facilities, the majority of the required documentation is requested directly from the facility.

Q:   Do providers need to sign into a portal to upload their documents?  I have a provider asking questions about what screens they are to use in CAQH.  

A:   CAQH is used for practitioners for initial and recredentialing but not providers/facilities.  Best practice for practitioners is to log into CAQH once every 60-90 days to review and/or update any information and to replace expired documents (i.e., malpractice insurance coverage, etc.) and to re-attest that the information in their profile is true and correct.

Q:   For Kansas, do providers need to return documents to you, or do we pull everything from CAQH & One Health Port?  Do Disclosure of Ownerships (DOO) get sent to the state or to the health plan?

A:   Washington is the only state using One Health Port. The rest are using the services of CAQH. We pull a good portion of the information needed directly from those two sources (CAQH and One Health Port), if available.  Documentation that must come from a primary source (license, board certification, etc.) is pulled from those individual websites. The disclosure of ownership forms should be sent to our designated recredentialing email: recred-corporate@centene.com.  DOOs for groups are stored and reused for other practitioners enrolled under the same TIN.  They are considered current for one year, based on the signature date.

Q:   Is there an attestation the providers must complete?

A:   We use the standard attestation and release of information available in CAQH.

Q:   If we receive nothing, all is well?

A:   I would not always assume that no news is good news.  Send any questions about a particular practitioner to sunflowerstatehealth@centene.com.

Q:   Is there anywhere where we can verify that our providers are credentialed?

A:   There is no self-help tool.  You can email sunflowerstatehealth@centene.com if you have questions about the credentialing for a particular NPI.

Q:   Why can't the notices be sent to the mailing address listed in CAQH? We are a CMHC and utilize space in health depts. The notices do not always get to me timely, if at all.

A:   Practitioners can send a request to sunflowerstatehealth@centene.com to add a “credentialing/correspondence address.”   The recredential notifications will continue going to the primary address locations, but will also be mailed to the credentialing/correspondence address.

Q:   Providers previously in network and adding to new practice completed changes in KMAP. Do we need to also send something to Sunflower?

A:   When the practitioner update is made with the state, the health plan will be sent the update. You’ll be notified if there is any additional information needed.

Q:   Do you require recredentialing on facilities as well? Or just at the provider level?

A:   Facilities do also have a three-year credentialing cycle.

Q:   If we don't receive the letters, where do we check for all NPIs that are due for recredential?

A:   You can email sunflowerstatehealth@centene.com if you have questions about the credentialing for a particular NPI.

Pre-Auth Check Tool and NIA Portal for Advanced Imaging - Presentation about using the NIA portal and pre-auth check tool.

Other Training

Sunflower is pleased to offer additional information of interest to our providers.

We are pleased to offer training to caregivers, members, and anyone interested in foster care through live, online and interactive learning.

Caregiver Trainings include:

  • Trauma Informed Care
  • Youth Suicide Prevention
  • Behavior Management
  • Childhood Development

Teach-back Training

10 Elements of Competence for Using Teach-back Effectively - Learn about the teach-back method, a research-based health literacy intervention that improves patient-provider communication and patient health outcomes.

Project ECHO Opportunities

Project Echo: Sunflower Health Plan

Training Events

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