FL Sunshine Health SH_MMA_OTC.714 2014-2026 free printable template
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SUNSHINE HEALTH Disorder OvertheCounter Program Sunshine Health pharmacy benefit allows you to get a select group of OvertheCounter (OTC) items to help you stay in good health. Use these items only
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How to fill out cvs sunshine otc form
How to fill out FL Sunshine Health SH_MMA_OTC.714
01
Obtain the FL Sunshine Health SH_MMA_OTC.714 form from the Sunshine Health website or your healthcare provider.
02
Read all instructions provided on the form carefully.
03
Fill out your personal information at the top of the form, including your name, address, and member ID.
04
Indicate the items you wish to order from the list provided on the form, ensuring you adhere to the limits provided.
05
Double-check your selections to ensure accuracy.
06
Sign and date the form where indicated.
07
Submit the completed form to the address specified in the instructions, either by mail or electronically if permitted.
Who needs FL Sunshine Health SH_MMA_OTC.714?
01
Individuals enrolled in Florida Sunshine Health plans who have access to OTC benefits and wish to order eligible over-the-counter items.
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People Also Ask about sunshine health otc
What can you get with a OTC card?
What can you buy with your credit? Buy healthy foods like fruits and vegetables, meat, seafood, dairy products and water. Choose from thousands of OTC products, like toothpaste, first aid necessities, cough drops, bladder control pads and more. Pay utility bills like electricity, gas, water and internet.
What is covered under OTC?
Your OTC allowance benefit is good for a variety of products including: Vitamins and supplements. Pain relievers, cough drops and other OTC medicines. Toothbrushes, toothpaste, denture cream and tablets. Cleansing wipes and bladder control pads. Bandages and first aid supplies. Stomach remedies.
How to use OTC at CVS?
Inform the cashier that you have the OTCHS benefit and present your member ID card before the cashier begins to scan products. Your insurance card is used to verify eligibility, not as a form payment. You can also cut out and present the QR Code to the store colleague at the register to assist with the transaction.
How often do you get OTC benefits?
Your OTC benefit can be utilized once a month or once a quarter, not to exceed your benefit's allowance.
How do I use my OTC card for food?
Once activated, you can use your OTC and Grocery Card for eligible purchases at participating stores. No PIN or signature is required for in-store purchases — it works just like a prepaid card. Go to the checkout lanes, and simply swipe the card for payment.
How to order 2023 OTC Catalog?
You may place your order by calling (888) 628-2770 (TTY: 711). Live agents are available to help you Monday through Friday from 9 a.m. to 8 p.m. Pacific time. You can also order 24/7 via our automated interactive voice response (IVR) system.
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What is FL Sunshine Health SH_MMA_OTC.714?
FL Sunshine Health SH_MMA_OTC.714 is a form used by Sunshine Health for reporting specific healthcare-related information for members enrolled in their Medicaid programs.
Who is required to file FL Sunshine Health SH_MMA_OTC.714?
Healthcare providers, Medicaid managed care organizations, and other entities that provide services to Medicaid members are required to file FL Sunshine Health SH_MMA_OTC.714.
How to fill out FL Sunshine Health SH_MMA_OTC.714?
To fill out FL Sunshine Health SH_MMA_OTC.714, follow the instructions provided with the form, ensuring all required fields are accurately completed and relevant data is entered according to Sunshine Health guidelines.
What is the purpose of FL Sunshine Health SH_MMA_OTC.714?
The purpose of FL Sunshine Health SH_MMA_OTC.714 is to collect important data for tracking healthcare services, expenditures, and ensuring compliance with state Medicaid regulations.
What information must be reported on FL Sunshine Health SH_MMA_OTC.714?
The information that must be reported on FL Sunshine Health SH_MMA_OTC.714 includes patient demographics, service details, provider information, and any relevant billing and claim data associated with Medicaid services.
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