Use your ZIP Code to find your personal plan. Your area isn't covered? 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. If you dont want to leave our site, choose the X in the upper right corner to close this message. And you can access Telehealth on your computer or smart phone anywhere and anytime. Login to Your Account Access your secure provider information any time. We're dedicated to helping your practice run as . Check Now Provider Resources Your Ambetter online member account puts you in control of your health plan. Contact Ambetter from Meridian at 1-833-993-2426. 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. Your area isn't covered? Print or download it to your smart phone so you always have it with you. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. You will need Adobe Reader to open PDFs on this site. Effective 1/1: Electronic Prescribing of Controlled Substances Required. 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. The Ambetter from Peach State Health Plan login portal is where you manage your account. That way, you can focus on your patients. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. View detailed Electronic Funds Transfer (EFT) payment history. Earn rewards for taking charge of your health. Access your secure provider information any time. Loading You can get answers to medical questions and care advice even prescriptions. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Superior HealthPlan provides the tools and support you need to deliver the best quality of care. All Rights Reserved. Discover all the ways you can manage your coverage. You can call 1-855-231-3716to ask for a printed copy of the health survey. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. Or access MyActiveHealthwith your smartphone. Use your ZIP Code to find your personal plan. Your Ambetter coverage includes no-cost in-network Telehealth services. Another group or vendor provides the info on the next page. Copyright 2023 Centene Corporation. What you need to know about the Coronavirus. Visit Provider.ambettermeridian.com and click Create an Account. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. You will need Adobe Reader to open PDFs on this site. Give us a call if you have any questions as you shop and explore . A flu shot protects you and those you love. 11/15/21. 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. Interested in becoming an Ambetter provider? Contact Us for more information. Were here foryouMonday through Friday, 8 AM to 5 PM. Manage patient administrative tasks quickly and easily. Your Ambetter online member account provides many ways to get care, including finding a Primary Care Provider (PCP), locating an in-network Urgent Care Center, or even accessing Telehealth services. Be sure to have your member ID and email addresshandy. For Providers show For Providers menu. Learn More. Find and enroll in a plan that's right for you. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Find and enroll in a plan that's right for you. You're dedicated to your patients, so we're dedicated to you. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Don't miss out on your affordable health plan! 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. You will need Adobe Reader to open PDFs on this site. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . What is Ambetter? 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. 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. Login Log in Forgot your password? You will need Adobe Reader to open PDFs on this site. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings. Use your ZIP Code to find your personal plan. What is Ambetter? Find health tips, financial advice and more to build a healthier life. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. The app lets you access all the benefits of your Member Portal anytime, anywhere. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. What is Ambetter? Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Yes. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. I understand that my information will be used in accordance with my plan notice of privacy practices. 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. **Restrictions apply. At the end of the day, our job is to make yours easier. We would love to hear from you! Use your ZIP Code to find your personal plan. Use your member account anytime to conveniently do things like: If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up today. Use your ZIP Code to find your personal plan. 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. Find and enroll in a plan that's right for you. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. And, as a partner with Ambetter, youll be able to count on us. What is Ambetter from Arizona Complete Health? 1 Marketplace insurer*, Ambetter from Superior HealthPlan has the experience and resources to help people when it matters most, and were proud to provide reliable coverage to more people throughout Texas.. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. Find and enroll in a plan that's right for you. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? 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. Connect your fitness devices and track yourprogress. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Youre going to the provider website. Update provider demographics. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Provider Reminders: Claims Definitions. Please select your state. Copyright 2023 Centene Corporation. 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. Your Texas Benefitsprovidesthe info on the next page. Superior HealthPlan News. You will need Adobe Reader to open PDFs on this site. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Login Welcome to the Login page. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Healthcare is essential. Join Ambetter show Join Ambetter menu And, as a partner with Ambetter, you'll be able to count on us. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Make your first payment to access great benefits. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Join Ambetter show Join Ambetter menu View our Preferred Drug List to see what drugs are covered. 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. Download the free version of Adobe Reader. Together, we're on a mission for better health insurance and healthier lives. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. You will need Adobe Reader to open PDFs on this site. Or choose Go on to move forward to the main Aetna Medicaid website. Plus, its no cost for members. You can do so much more with your health plan when you create an account in your Member Portal. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. All rights reserved. Find everything you need in the member online account. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. 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. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Ambetter from Arizona Complete Health can help. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. No problem. You can do a lot inside your Member Portal. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Your Ambetter online member account puts you in control of your health plan. That way, you can focus on your patients. 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. Copyright 2023 Celtic Insurance Company. Ready to learn more? Infographic Description. All rights reserved. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. 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. If you are a Medical Professional or Behavioral Provider, please select the appropriate option in the dropdown menu and log in to or register for your secure portal. All rights reserved. That way, you can focus on your patients. 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. Theyve always been able to count on you. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. What is Ambetter? Healthcare designed for you. Ambetter Health has your back every step of the way on your personal health and wellness journey. Use your ZIP Code to find your personal plan. 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. Aetnaprovides infoabout COVID-19on the next page. National Imaging Associates (NIA)resources have moved. Questions? Aetna Better Health provides the general info on the next page. Get personalized help managing diabetes, asthma and other chronic conditions. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. At the end of the day, our job is to make yours easier. Find and enroll in a plan that's right for you. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources All rights reserved. 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/. You can access your plan information and pay your premium. Find everything you need in the member online account. All rights reserved. There, you can view your digital ID, download it to your smartphone, or print a copy. Use our helpful resources to deliver the best quality of care. Copyright 2023 Celtic Insurance Company. Please select Member in the dropdown menu to log in to or create your secure online member account. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Have your tax ID number ready during sign up. 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. Quality Improvement resources have moved. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Or choose Go on to move forwardtoYour Texas Benefits. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. 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. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Non-discrimination notice and language assistance. Copyright 2023 Arizona Complete Health. You have many convenient ways to make your payment. You cansign uponlineorcontact us. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Discover all the ways you can manage your coverage. Youre dedicated to your patients, so were dedicated to you. As part of the nations No. You're dedicated to your patients, so we're dedicated to you. Get coaching on funnew ways to improve yourhealth. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Theyve always been able to count on you. Your area isn't covered? Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Date: Just log in. Visibility of Multiple TINs. Download the free version of Adobe Reader. See what vision and dental coverage is available for you. 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 Find your health info and healthnumbers. It has info for health care providers. Or use your Aetna Better Healthapp to take your benefits on the go. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Ambetter offers a variety of plans for all budgets and needs. Take care of you and your baby with our maternity health programs. Join Ambetter show Join Ambetter menu Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. You can access a digital copy of your Member ID anytime by logging in to your online member account. Submit and manage claims, including batch files, for free. 08/07/20. Copyright 2023 Centene Corporation. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. 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. Ambetter does not provide medical care. Copyright 2022 Aetna Better Health of Texas. If you dont want to leave our site, choose the X in the upper right corner to close this message. https://provider.sunshinestatehealth.com/. Secure messaging between provider & Ambetter from Magnolia Health. 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). To find out more information, pleaseselect your state below. Have your tax ID number ready during sign up. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. 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.
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