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Vendor Affiliates

Our vendor affiliates manage the benefits below.

  • Centene Dental Services (formerly Envolve Dental): Centene Dental Service's Provider Portal
  • Express Scripts: Express Scripts Pharmacy Provider Portal
  • Centene Vision Services (formerly Envolve Vision): Centene Vision Services Provider Portal
  • SafeRide Health (Non-Emergency Medical Transportation): SafeRide Health
  • Evolent (Oncology):
    • AMBETTER: Oncology & supportive medications for members age 18 and older need to be verified by Evolent.
    • SUNFLOWER MEDICAID: Beginning May 10, 2021, Oncology & supportive medications for members age 21 and older need to be verified by Evolent.
  • Evolent (Imaging): Evolent manages non-emergent, high-tech, outpatient radiology services through prior authorization. This program is consistent with industry-wide efforts to ensure clinically appropriate quality of care and to manage the increasing utilization of these services.

    Sunflower Health Plan oversees the Evolent program and is responsible for claims adjudication. Evolent manages non-emergent outpatient imaging/radiology services through contractual relationships with free-standing facilities.

    Prior authorization is required for the following outpatient radiology procedures:
    • CT/CTA/CCTA
    • MRI/MRA
    • PET Scan

KEY PROVISION:

Providers rendering the above services should verify that the necessary authorization has been obtained. Failure to do so may result in non-payment of your claim.

Go to the Evolent website for more information.

  • Evolent (Musculoskeletal): Evolent provides utilization management services for the Musculoskeletal (MSK) Management program (orthopedic surgery and pain management). See the Sunflower Bulletin or the Sunflower page on Evolent's website for more details.