Sunshine Health
Sunshine Health is a Florida Medicaid Managed Medical Assistance (MMA) plan. Many Miami-Dade families use Sunshine for medically necessary ABA and related services. Benefits, networks, and prior authorization rules vary by member—we help you verify coverage rather than guess.
Important: We accept / work with families using Sunshine. Benefits and authorizations vary—call to verify. This page is not a benefits quote.
What families should know
- Florida Medicaid MMA pathway common for ABA authorization
- Prior authorization is often required before ongoing therapy
- Diagnostic documents (often including a CDE pathway) may be needed
- We help families gather records and understand next intake steps
What to bring to intake
- Member ID card (front and back photos help)
- Child’s date of birth and guardian contact details
- Autism or qualifying diagnosis reports you already have
- Any prior ABA authorizations, denials, or therapy notes
- Preferred language for intake and parent training (English or Spanish)
What happens at intake
- 1
We confirm your plan name and member ID and explain what we can verify.
- 2
We review goals, settings (clinic, home, school when authorized), and documents on hand.
- 3
If assessment or treatment needs prior auth, we outline the usual paperwork sequence.
- 4
This is not a benefits quote—final coverage depends on your plan and medical necessity review.
Frequently asked questions
Do you accept Sunshine Health for ABA?
Will Sunshine automatically approve ABA?
Can we do intake in Spanish?
Ready to verify Sunshine?
Miami Lakes · info@behavioralforkids.com · Authorization may be required