FABA has been made aware of a recent letter from Sunshine Health to its contracted ABA providers. FABA is aware that the letter references a 20% cut in reimbursement rates. While FABA cannot advise providers how to respond to the letter, any reduction in reimbursement will have negative implications for providers and their clients. 

Providers affected by this change should express their concerns, in writing, to their provider representative. 

FABA would like to note that if providers choose to leave the Sunshine Health Network, they will be considered out of network if Sunshine is awarded any future contracts related to the provision of ABA services. 

For FABA to collaborate with Sunshine Health regarding their reimbursement rates and network adequacy, FABA needs additional information from Sunshine Health providers. We are asking all Sunshine Health providers to take two minutes to complete this survey regarding their ABA services. The survey is completely anonymous. We are merely collecting data to inform next steps.

http://forms.office.com/r/tqe85SVN7d

Thank you for participating in our survey.  

FABA hopes that all its members will remain compliant with their payer contracts while effectively meeting the needs of their patients and families. 

Sincerely, 

FABA Public Policy Committee