You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Don't miss out on your affordable health plan! It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. And you can access Telehealth on your computer or smart phone anywhere and anytime. Non-discrimination notice and language assistance. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Find everything you need in the member online account. Access your secure provider information any time. You can do so much more with your health plan when you create an account in your Member Portal. All rights reserved. We're dedicated to helping your practice run as . Your Ambetter online member account puts you in control of your health plan. Please select Member in the dropdown menu to log in to or create your secure online member account. Copyright 2023 Celtic Insurance Company. You can do a lot inside your Member Portal. 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). Access Daily Patient Lists from One Screen. 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. Or choose Go on to move forwardtoYour Texas Benefits. Youre going to the provider website. What is Ambetter? Ready to learn more? What is Ambetter? Contact Us for more information. At the end of the day, our job is to make yours easier. Find and enroll in a plan that's right for you. Billing Resources Electronic Visit Verification (EVV) Quality Improvement resources have moved. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. What you need to know about the Coronavirus. 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. Visit https://member.ambetterhealth.com for more details. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. You will need Adobe Reader to open PDFs on this site. Find everything you need in the member online account. We would love to hear from you! The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Ambetter. Contact Us for more information. All rights reserved. You're dedicated to your patients, so we're dedicated to you. Make your first payment to access great benefits. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. 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. Always on the go? All rights reserved. If you dont want to leave our site, choose the X in the upper right corner to close this message. Superior HealthPlan News. What is Ambetter? Simply call Superior Member Services. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Because protecting peoples health is why were here, and its what well always do. What is Ambetter? AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. You will need Adobe Reader to open PDFs on this site. You can access a digital copy of your Member ID anytime by logging in to your online member account. Healthcare is essential. All rights reserved. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? At the end of the day, our job is to make yours easier. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. 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. Just download the app from the AppleApp Store or the Google Playstore. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Copyright 2022 Aetna Better Health of Texas. Use your ZIP Code to find your personal plan. Just log in. You will need Adobe Reader to open PDFs on this site. Your Ambetter online member account puts you in control of your health plan. Setting up your online member account is easier than ever it only takes a few minutes. What you need to know about the Coronavirus. You're dedicated to your patients, so we're dedicated to 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. Or access MyActiveHealthwith your smartphone. Download the free version of Adobe Reader. Download the free version of Adobe Reader. Update provider demographics. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Give us a call if you have any questions as you shop and explore . If you dont want to leave the member site, choose the X in the upper right corner to close this message. 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 Yes. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. 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. Find everything you need in the member online account, Date: To find out more information, pleaseselect your state below. Or use your Aetna Better Healthapp to take your benefits on the go. 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. show Join Ambetter from AZ Complete Health menu. Contact Us for more information. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Your area isn't covered? Your area isn't covered? Theyve always been able to count on you. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Your Texas Benefitsprovidesthe info on the next page. 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. Login Log in Forgot your password? Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Earn rewards for taking charge of your health. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Check out health resources, send us questions and more. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Login Welcome to the Login page. And as a partner with Ambetter, youll be able to count on us. Provider Reminders: Claims Definitions. 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 - 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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. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Find and enroll in a plan that's right for you. Use your ZIP Code to find your personal plan. You will need Adobe Reader to open PDFs on this site. Secure messaging between provider & Ambetter from Magnolia Health. 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. Register your account today! 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. What is Ambetter? Find everything you need in the member online account. Copyright 2023 Centene Corporation. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. 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. All rights reserved. Use the tabs or the previous and next buttons to change the displayed slide. Ambetter from Arizona Complete Health can help. Join Ambetter show Join Ambetter menu Were here foryouMonday through Friday, 8 AM to 5 PM. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. Join Ambetter show Join Ambetter menu Find and enroll in a plan that's right for you. 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. You can also ask for info on health conditions and wellness topics in print. Find and enroll in a plan that's right for you. Find health tips, financial advice and more to build a healthier life. Join Ambetter show Join Ambetter menu You can call 1-855-231-3716to ask for a printed copy of the health survey. Use our helpful resources to deliver the best quality of care. 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. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Or choose Go on to move forward to the provider website. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. 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. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. Your online member account is a powerful tool that puts you in control of your health coverage. 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. Youre dedicated to your patients, so were dedicated to you. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Your area isn't covered? Copyright 2023 Centene Corporation. A flu shot protects you and those you love. Just visit your MemberPortal. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. At the end of the day, our job is to make yours easier. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Ambetter does not provide medical care. 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 dedicated to your patients, so were dedicated to you. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Take care of you and your baby with our maternity health programs. That way, you can focus on your patients. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. See what vision and dental coverage is available for you. Or choose Go on to move forward. Healthcare designed for you. Register your account today! Date: Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Go to Member.AmbetterHealth.comand complete a few simple steps to register. What is Ambetter from Arizona Complete Health? You will need Adobe Reader to open PDFs on this site. Theyve always been able to count on you. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Your Ambetter coverage includes no-cost in-network Telehealth services. 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. Plus, its no cost for members. The Ambetter from Peach State Health Plan login portal is where you manage your account. The fee displayed is the allowable rate for this service. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. There, you can view your digital ID, download it to your smartphone, or print a copy. 11/15/21. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Protected, Convenient Access at Your Fingertips. 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. Infographic Description. Contact Ambetter from Meridian at 1-833-993-2426. Just log in to manage your plan benefits and health goals from anywhere. 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. If you dont want to leave our site, choose the X in the upper right corner to close this message. Theyve always been able to count on you. If you dont want to leave our site, choose the X in the upper right corner to close this message. All rights reserved. Be sure to have your member ID and email addresshandy. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Join Ambetter show Join Ambetter menu Newsroom. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. 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. Please select your state. Use your ZIP Code to find your personal plan. View patient demographics & history. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Interested in becoming an Ambetter provider? Stay up to date with the latest news and announcements. You can access your plan information and pay your premium. Use your ZIP Code to find your personal 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. Find and enroll in a plan that's right for you. Get medical help from doctors via video and phone. Visibility of Multiple TINs. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. You will need Adobe Reader to open PDFs on this site. Use your ZIP Code to find your personal plan. 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. Make your first payment to access great benefits. And, as a partner with Ambetter, youll be able to count on us. All Rights Reserved. Use your ZIP Code to find your personal plan. 08/07/20. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. 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. 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. Discover all the ways you can manage your coverage. I understand that my information will be used in accordance with my plan notice of privacy practices. Simply call Superior Member Services. 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.. 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. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Manage Batch Claims for Free. And, as a partner with Ambetter, you'll be able to count on us. 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. Submit and manage claims, including batch files, for free. Aetna Better Health provides the general info on the next page. Get coaching on funnew ways to improve yourhealth. You will need Adobe Reader to open PDFs on this site. The app lets you access all the benefits of your Member Portal anytime, anywhere. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Contact Ambetter from Meridian at 1-833-993-2426 When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Shop and Compare Plans Find a Doctor Shop and Compare Plans 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. Get personalized help managing diabetes, asthma and other chronic conditions. Login to Your Account Access your secure provider information any time. Copyright 2023 Celtic Insurance Company. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Connect your fitness devices and track yourprogress. Find and enroll in a plan that's right for you. Copyright 2023 Celtic Insurance Company. Or choose Go on to move forward to the main Aetna Medicaid website. 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. You have many convenient ways to make your payment. That way, you can focus on your patients. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources.
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