Contact Us for more information. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Together, we're on a mission for better health insurance and healthier lives. Contact Us for more information. Plus, its no cost for members. You can access a digital copy of your Member ID anytime by logging in to your online member account. Your Ambetter online member account puts you in control of your health plan. Join Ambetter show Join Ambetter menu . Take care of you and your baby with our maternity health programs. 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. Use your ZIP Code to find your personal plan. 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. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Use your ZIP Code to find your personal plan. Log in today to find the care option thats right for you. All rights reserved. 11/15/21. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Use the tabs or the previous and next buttons to change the displayed slide. Members must qualify for and complete all activities to receive $500 or more. Just download the app from the AppleApp Store or the Google Playstore. Healthcare is essential. Aetna Better Health provides the general info on the next page. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. You will need Adobe Reader to open PDFs on this site. Ambetter does not provide medical care. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Register your account today! Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Use our helpful resources to deliver the best quality of care. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. You can get answers to medical questions and care advice even prescriptions. Or choose Go on to move forward. Another group or vendor provides the info on the next page. Or choose Go on to move forward to the provider website. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Download the free version of Adobe Reader. Find everything you need in the member online account. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. At the end of the day, our job is to make yours easier. Copyright 2023 Centene Corporation. Visit Provider.ambettermeridian.com and click Create an Account. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Theyve always been able to count on you. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. 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. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Get medical help from doctors via video and phone. All rights reserved. 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. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. 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. Your Ambetter online member account puts you in control of your health plan. That way, you can focus on your patients. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. 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. All rights reserved. Access Daily Patient Lists from One Screen. To find out more information, pleaseselect your state below. Theyve always been able to count on you. Because protecting peoples health is why were here, and its what well always do. What is Ambetter? 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. Youre dedicated to your patients, so were dedicated to you. If you dont want to leave our site, choose the X in the upper right corner to close this message. Use your ZIP Code to find your personal plan. Review clinical and payment policy information. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Or choose Go on to move forwardtoYour Texas Benefits. We're dedicated to helping your practice run as . Access Daily Patient Lists from One Screen. Find and enroll in a plan that's right for you. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Newsroom. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Give us a call if you have any questions as you shop and explore . 08/07/20. Make your first payment to access great benefits. Visit Provider.ambettermeridian.com and click Create an Account. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Stay up to date with the latest news and announcements. Check out health resources, send us questions and more. Join Ambetter show Join Ambetter menu For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Your online member account is a powerful tool that puts you in control of your health coverage. The fee displayed is the allowable rate for this service. Your area isn't covered? Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Be sure to have your member ID and email addresshandy. You can also ask for info on health conditions and wellness topics in print. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Were here foryouMonday through Friday, 8 AM to 5 PM. Ambetter Health has your back every step of the way on your personal health and wellness journey. Please visitSuperior's QI Program. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Your Ambetter online member account puts you in control of your health plan. Ambetter. Find and enroll in a plan that's right for you. See what vision and dental coverage is available for you. https://provider.sunshinestatehealth.com/. Use your ZIP Code to find your personal plan. Check Now Provider Resources Just visit your MemberPortal. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Please select your state. 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 can access your plan information and pay your premium. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Access your secure provider information any time. Or choose Go on to move forward to the main Aetna Medicaid website. Your area isn't covered? What you need to know about the Coronavirus. Login to Your Account Access your secure provider information any time. Connect your fitness devices and track yourprogress. Have your tax ID number ready during sign up. All Rights Reserved. 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. At the end of the day, our job is to make yours easier. Your Texas Benefitsprovidesthe info on the next page. Ambetter offers a variety of plans for all budgets and needs. Copyright 2023 Celtic Insurance Company. Find everything you need in the member online account. Youre dedicated to your patients, so were dedicated to you. Theyve always been able to count on you. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Date: One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Update provider demographics. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Youre going to the provider website. As part of the nations No. If you dont want to leave our site, choose the X in the upper right corner to close this message. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Yes. You can do so much more with your health plan when you create an account in your Member Portal. That way, you can focus on your patients. Register your account today! You have many convenient ways to make your payment. 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. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. And as a partner with Ambetter, youll be able to count on us. You will need Adobe Reader to open PDFs on this site. 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. You will need Adobe Reader to open PDFs on this site. Or use your Aetna Better Healthapp to take your benefits on the go. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Join Ambetter show Join Ambetter menu With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. You're dedicated to your patients, so we're dedicated to you. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. The Ambetter from Peach State Health Plan login portal is where you manage your account. Quality Improvement resources have moved. You will need Adobe Reader to open PDFs on this site. Aetnaprovides infoabout COVID-19on the next page. Questions? Contact Ambetter from Meridian at 1-833-993-2426 View detailed Electronic Funds Transfer (EFT) payment history. Contact Us for more information. You cansign uponlineorcontact us. At the end of the day, our job is to make yours easier. *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. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Ambetter from Arizona Complete Health can help. All rights reserved. Infographic Description. Your Ambetter coverage includes no-cost in-network Telehealth services. 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. 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. Discover all the ways you can manage your coverage. Ambetter from Meridian is underwritten by Meridian Health Plan of Michigan, Inc. Additional Features to Streamline Office Operations, Secure messaging between provider & Ambetter from Meridian. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Use your ZIP Code to find your personal plan. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. You will need Adobe Reader to open PDFs on this site. At the end of the day, our job is to make yours easier. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. What is Ambetter from Arizona Complete Health? 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. What is Ambetter? 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. Always on the go? 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. 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. 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. And, as a partner with Ambetter, youll be able to count on us. 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 If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. Use your ZIP Code to find your personal plan. Simply call Superior Member Services. *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 withfindings from 2019 Issuer Level Enrollment Data from CMS,2019 State-Level Public Use File from CMS,2019 Covered California ActiveMember Profile data,state insurance regulatory filings, and public financial filings. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Pay now to activate the health benefits you deserve. Provider Reminders: Claims Definitions. The app lets you access all the benefits of your Member Portal anytime, anywhere. Download the free version of Adobe Reader. You can do a lot inside your Member Portal. Copyright 2023 Celtic Insurance Company. Submit and manage claims, including batch files, for free. Simply call Superior Member Services. Copyright 2023 Celtic Insurance Company. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Print or download it to your smart phone so you always have it with you. Discover all the ways you can manage your coverage. That way, you can focus on your patients. And, as a partner with Ambetter, youll be able to count on us. 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. We would love to hear from you! Just log in. 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. 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. Youre dedicated to your patients, so were dedicated to you. Make your first payment to access great benefits. 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. 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. Setting up your online member account is easier than ever it only takes a few minutes. 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! Billing Resources Electronic Visit Verification (EVV) What is Ambetter? 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. No problem. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Or access MyActiveHealthwith your smartphone. It has info for health care providers. 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. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Just log in to manage your plan benefits and health goals from anywhere. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. 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.