Find and enroll in a plan that's right for you. That way, you can focus on your patients. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Links to specific provider resources can be found by using the left navigation bar to access provider webpages or clicking the links within the sections below. Use your ZIP Code to find your personal plan. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. You will need Adobe Reader to open PDFs on this site. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. What is Ambetter? Ambetter does not provide medical care. Copyright 2023 Arizona Complete Health. You will need Adobe Reader to open PDFs on this site. Don't miss out on your affordable health plan! Quality Improvement resources have moved. Or use your Aetna Better Healthapp to take your benefits on the go. Ambetter. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Ambetter from Superior Health Plan Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage + optional dental coverage for subscribers Provider Services for Ambetter 833-260-3625 Members: call the number on the back of your ID card or go to the plan site. Medicaid for children, newborns, pregnant women and some families, Medicaid for children and adults 20 or younger who have disabilities, A program for families and mother-to-be that dont qualify for Medicaid. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Find your health info and healthnumbers. If you dont want to leave our site, choose the X in the upper right corner to close this message. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Or choose Go on to move forward to the main Aetna Medicaid website. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Access your secure provider information any time. Submit and manage claims, including batch files, for free. At the end of the day, our job is to make yours easier. Theyve always been able to count on you. Get medical help from doctors via video and phone. Learn More. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Go to Member.AmbetterHealth.comand complete a few simple steps to register. You will need Adobe Reader to open PDFs on this site. Pay now to activate the health benefits you deserve. Ambetter Health has your back every step of the way on your personal health and wellness journey. As part of the nations No. Just log in. At the end of the day, our job is to make yours easier. Contact Us for more information. Access Daily Patient Lists from One Screen. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Manage Batch Claims for Free. Use the tabs or the previous and next buttons to change the displayed slide. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Join Ambetter show Join Ambetter menu AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Use your ZIP Code to find your personal plan. Find and enroll in a plan that's right for you. And, as a partner with Ambetter, you'll be able to count on us. If you dont want to leave our site, choose the X in the upper right corner to close this message. Because protecting peoples health is why were here, and its what well always do. Your area isn't covered? The Ambetter from Peach State Health Plan login portal is where you manage your account. And as a partner with Ambetter, youll be able to count on us. Update provider demographics. Just download the app from the AppleApp Store or the Google Playstore. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP, Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies, Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville, Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success, Provider Notice of Adverse Benefit Determinations, Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnerships (TMHP) Eligibility Verification Issues. The fee displayed is the allowable rate for this service. You can access your plan information and pay your premium. Healthcare is essential. Discover all the ways you can manage your coverage. Join Ambetter show Join Ambetter menu Ready to learn more? Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Your Texas Benefitsprovidesthe info on the next page. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The Adjusted Fee column displays the fee with all of the percentage reductions applied. Have your tax ID number ready during sign up. Or choose Go on to move forwardtoYour Texas Benefits. Download the free version of Adobe Reader. Your area isn't covered? Interested in becoming an Ambetter provider? Use your ZIP Code to find your personal plan. show Join Ambetter from AZ Complete Health menu. All rights reserved. Just visit your MemberPortal. Find a Doctor Near You | Ambetter Ambetter Guide Find nearby in-network care Log in for the most accurate results Logging in helps us find you the most accurate results for your plan. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Use your ZIP Code to find your personal plan. Find health tips, financial advice and more to build a healthier life. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Have your tax ID number ready during sign up. Explore STAR Kids benefits and added services, Explore CHIP and CHIP Perinatal benefits and added services, STAR (Medicaid) Member Handbook - English (PDF), STAR (Medicaid) Member Handbook - Spanish (PDF), STAR Kids Member Handbook - English (PDF), STAR Kids Member Handbook - Spanish (PDF), CHIP and CHIP Perinatal Member Handbook - English (PDF), CHIP and CHIP Perinatal Member Handbook - Spanish (PDF), Seeyour member ID cardor ask for a newone, Connect with your care team if you take part in care management. Provider Reminders: Claims Definitions. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. That way, you can focus on your patients. For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. Check out health resources, send us questions and more. Regardless of plan, Ambetter from Superior HealthPlan provides a variety of additional services and benefits to help members get the most out of their coverage: Superior HealthPlan has been serving Texas since 1999 and currently serves more than 1.7 million people across its Medicaid, CHIP, Medicare and Ambetter plans. You will need Adobe Reader to open PDFs on this site. Please select Member in the dropdown menu to log in to or create your secure online member account. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. For Providers show For Providers menu. All rights reserved. What you need to know about the Coronavirus. What is Ambetter? See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Use your ZIP Code to find your personal plan. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. For the most updated information or to re-enroll, please visit, Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP, Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies, Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville, Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success, Provider Notice of Adverse Benefit Determinations, Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnerships (TMHP) Eligibility Verification Issues, Ambetter from Superior HealthPlan - Provider Resources, Allwell Qualified Medicare Beneficiaries FAQ (PDF), Balance Billing: Superior Medicaid and CHIP (PDF), Balance Billing: Wellcare By Allwell and STAR+PLUS MMP (PDF), Superior HealthPlan Telemedicine Quick Reference Chart (PDF), TurningPoint Procedure Coding and Medical Policy Information (PDF), Ontrak Program Service Claims - Frequently Asked Questions (PDF), EVV Compliance Job Aid for Consumer Directed Services Employers (PDF), EVV Compliance Job Aid for Program Providers and FMSAs (PDF), EVV Provider Compliance Requirements (PDF), HHS EVV Aggregator and EVV Portal Webinar (PDF), HHS EVV Provider Stakeholder Presentation (PDF), HHS EVV Responsibilities and Additional Information, 1718 Form (PDF), HHS EVV Temporary EVV Policies for Severe Winter Weather (PDF), HHS EVV Temporary Policies for COVID-19 (PDF), HHS EVV Vendor Selection for Cures Act EVV Expansion (PDF), HHS EVV Tool Kit - EVV Visit Maintenance and Transactions (PDF), HHS EVV Tool Kit Module 1 - Introduction to EVV (PDF), HHS EVV Tool Kit Module 2 - EVV Roles and Responsibilities (Part 1) (PDF), HHS EVV Tool Kit Module 3 - EVV Roles and Responsibilities (Part 2) (PDF), HHS EVV Tool Kit Module 4 - EVV Visit Transactions (PDF), HHS EVV Tool Kit Module 5 - EVV Visit Maintenance (PDF), HHS EVV Tool Kit Module 6 - EVV Process Flow (PDF), HHS EVV Tool Kit Module 7 - EVV Aggregator and Portal (PDF), HHS EVV Tool Kit Module 8 - Submitting an EVV Claim (PDF), HHS EVV Tool Kit Module 9 - EVV Portal Standard Reports and Search Tools (PDF), HHS EVV Tool Kit Module 10 - EVV Visit Transaction Validation Enhancements (PDF), HHS EVV Tool Kit Module 11 - Summary of EVV Changes (Part 1) (PDF), HHS EVV Tool Kit Module 12 - Getting Started - Next Steps (PDF), HHS EVV Tool Kit Module 13 - EVV Training Requirements (PDF), HHS EVV Roadshow Instructor-lead Training Schedule, Summer-Fall (PDF), HHS EVV Tool Kit Module 14 - EVV Compliance Oversight Policies (PDF), HHS EVV Tool Kit Module 15 - Best Practices to Avoid EVV Claim Mismatches (PDF), TMHP Electronic Visit Verification (EVV) FAQ (PDF), Visit Maintenance Unlock Request for Program Provider and FMSA (Excel), Visit Maintenance Unlock Request for Consumer Directed Services Employers (Excel), Drugs of Abuse and Genetic/Molecular Diagnostic Testing Prior Authorization Notice (PDF), Drugs of Abuse Prior Authorization Code List (PDF), Preferred DME Supplier (Medline) FAQ (PDF), Preferred DME Supplier (Medline) Supplies Available without Prior Authorization List (PDF), Prior Authorization List - Medicaid (PDF), Skilled Nursing Requirements Checklist (PDF), Vehicle Modification Request Packet - STAR+PLUS(PDF), Vehicle Modification Request Packet - STAR+PLUS Medicare-Medicaid Plan (MMP)(PDF), Addendum to Billing Methodology for PDN Multiple Ratio with Hospital Admission Event (PDF), Billing Guide for Member to Nurse Ratios (PDF), Medical Criteria, Parameters for Medically Necessary Hours and Exceptions Process (PDF), Private Duty Nursing Requirements Checklist (PDF), Nusing Facility Credentialing Frequently Asked Questions (PDF), Acute Care and Hospitals Quick Reference Guide (PDF), Case Management for Children and Pregnant Women (CPW) Quick Reference Guide (PDF), Centers for Medicare & Medicaid Services Website Resources (PDF), Direct Payment Program Frequently Asked Questions (PDF), FQHC Payment Process Quick Reference Guide (PDF), HEDIS Guidelines for Monitoring for Patients on PersistentMedications (PDF), Ophthalmology Quick Reference Guide (PDF), Rural Health Clinic (RHC) Billing Guidelines - Quick Reference Guide (PDF), STAR+PLUS Long-Term Services (LTSS) and Supports Rate Guide (PDF), STAR+PLUS LTSS Quick Reference Guide (PDF), STAR+PLUS MMP Quick Reference Guide (PDF), Superior Pharmacy Quick Reference Guide (PDF), Wellcare By Allwell Quick Reference Guide (PDF), Wellcare vs. Wellcare By Allwell Guide (PDF), Early Childhood Intervention - Individualized Family Service Plan Information (PDF), Therapy Fee Schedule for Comprehensive Outpatient Rehabilitation Facility (Effective 9/1/17) (PDF), Therapy Fee Schedule for Home Health (Effective 9/1/17) (PDF), Therapy Fee Schedule for Individual Therapist Group (Effective 9/1/17) (PDF), Therapy Prior Authorization Requests: Clinical Documentation Criteria Quick Reference Guide (PDF), HHS Provider Notice: Texas Health Steps Document Improvement (PDF), HHS Texas Health Steps Information Flyer (PDF), Texas Health Steps Clinical Record Review Tool (PDF), Texas Health Steps Clinical Record Review Tool and Instructions, Texas Health Steps Medical Checkup Components and Provider Reference Guide (PDF), Texas Health Steps Online Provider Education, Texas Health Steps Regional Provider Relations Representatives Contact List, Texas Health Steps Quick Reference Guide (PDF), Guidelines on After Hours Telephone Accessibility (PDF), National Kidney Foundation - Chronic Kidney Disease (CKD) Risk Assessment Tool (PDF), HHS Early Childhood Intervention Services, HHS Policy Clarification:Span of Coverage (PDF), Prenatal Screening for Domestic Violence and Substance Use, Submit Attestations Online for Chronically Ill Members, Texas Health and Human Services Provider Fraud Notice (PDF), The Attorney General of Texas Initiative Combatting Sexual Exploitation (Human Trafficking), For the most recent EVV updates, please visit. Register your account today! Login Log in Forgot your password? To find out more information, pleaseselect your state below. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. This includes Ambetter Value, a new specialized plan aligned witha select group of primary care providers, which can help guide and steer a members utilization through a referral process. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Download the free version of Adobe Reader. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Aetna Better Health provides the general info on the next page. The COVID-19 pandemic emphasized that affordable and comprehensive health insurance is needed more than ever, said Mark Sanders, President and CEO of Superior HealthPlan. Contact Ambetter from Meridian at 1-833-993-2426 With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Use your ZIP Code to find your personal plan. Join Ambetter show Join Ambetter menu Contact Ambetter from Meridian at 1-833-993-2426. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Next year, Ambetter from Superior HealthPlan will be offered to Texas residents in seven additional counties, making the program available in 145 counties in the state through the Health Insurance Marketplace. See coverage in your area Find doctors and hospitals View pharmacy program benefits View essential health benefits Find and enroll in a plan that's right for you. 08/07/20. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. You will need Adobe Reader to open PDFs on this site. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. All rights reserved. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Ambetter Health Insurance Plans | Ambetter Home Shop Our Plans Select Your State Find your state below to see Ambetter health insurance plans available in your area. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Find and enroll in a plan that's right for you. See what vision and dental coverage is available for you. Make your first payment to access great benefits. Ambetter offers a variety of plans for all budgets and needs. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Infographic Description. Login Welcome to the Login page. Find everything you need in the member online account, Date: Protected, Convenient Access at Your Fingertips. Youre dedicated to your patients, so were dedicated to you. Your online member account is a powerful tool that puts you in control of your health coverage. Visibility of Multiple TINs. Find everything you need in the member online account. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Connect your fitness devices and track yourprogress. Find and enroll in a plan that's right for you. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. All rights reserved. What is Ambetter? Find and enroll in a plan that's right for you. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Access Daily Patient Lists from One Screen. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Find everything you need in the member online account. You have many convenient ways to make your payment. A flu shot protects you and those you love. Copyright 2022 Aetna Better Health of Texas. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Stay up to date with the latest news and announcements. **Restrictions apply. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. You can also ask for info on health conditions and wellness topics in print. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Loading The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. All Rights Reserved. For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. Use your ZIP Code to find your personal plan. Use your ZIP Code to find your personal plan. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Texas residents interested in learning more about Ambetter from Superior HealthPlan or enrolling in a health plan during the open enrollment period may visit https://ambetter.superiorhealthplan.com/. Members must qualify for and complete all activities to receive $500 or more. Please select your state. Please visitSuperior's QI Program. Access your digital ID card and download it to your smart phone or print it, Choose or change your Primary Care Physician (PCP), Get what you need to manage your coverage. Visit https://member.ambetterhealth.com for more details. What is Ambetter from Arizona Complete Health? Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. And you can access Telehealth on your computer or smart phone anywhere and anytime. Secure messaging between provider & Ambetter from Magnolia Health. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Find everything you need in the member online account. Superior HealthPlan equips each of our providers with the most up-to-date resources available for Texas Medicaid (STAR, STAR+PLUS, STAR Kids, STAR Health), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Medicare (Wellcare By Allwell) and Health Insurance Marketplace (Ambetter from Superior HealthPlan). View detailed Electronic Funds Transfer (EFT) payment history. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Ambetter Washington Login | Manage Your Plan Online Please select Member in the dropdown menu to log in to or create your secure online member account. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Billing Resources Electronic Visit Verification (EVV) Earn rewards for taking charge of your health. Join Ambetter show Join Ambetter menu Theyve always been able to count on you. A provider has thirty (30) calendar days from the date of the incident, such as the original Explanation of Payment date, to file a complaint/grievance. Your Ambetter online member account puts you in control of your health plan. There, you can view your digital ID, download it to your smartphone, or print a copy. And, as a partner with Ambetter, youll be able to count on us. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. All rights reserved. Join Ambetter show Join Ambetter menu Healthcare designed for you. Copyright 2023 Celtic Insurance Company. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Make your first payment to access great benefits. Youre dedicated to your patients, so were dedicated to you. Just log in to manage your plan benefits and health goals from anywhere. Or choose Go on tomove forward to Aetna.com. Copyright 2023 Centene Corporation. What you need to know about the Coronavirus. Use your ZIP Code to find your personal plan. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Give us a call if you have any questions as you shop and explore . What is Ambetter? Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). At the end of the day, our job is to make yours easier. You will need Adobe Reader to open PDFs on this site. Aetna Better Health of Texas complies with applicable federal civil rights laws and does not discriminateon the basis ofrace, color, national origin, age, disability or sex. Youre dedicated to your patients, so were dedicated to you. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. You cansign uponlineorcontact us. Together, we're on a mission for better health insurance and healthier lives. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Theyve always been able to count on you. Simply call Superior Member Services. Login to Your Account Access your secure provider information any time. Or choose Go on to move forward to the provider website. Plus, its no cost for members. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Reminder: Email field is generally your email address plus .centene (Example johndoe@gmail.com.centene) Contact Us Privacy Policy Usage Agreement Copyright 2020 Centene Corporation. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. National Imaging Associates (NIA)resources have moved. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. . Then, you can: See your member ID card or ask for a new one Change your primary care physician (PCP) Update your contact info Find forms and materials See your health history Track your health goals They've always been able to count on you. Here are the ways our provider community can contact us: For general and routine questions or concerns, please contact customer service at: For general and routine questions, please use the provider portal secure messaging feature.

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