And, as a partner with Ambetter, youll be able to count on us. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Join Ambetter show Join Ambetter menu 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. Register your account today! Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. You will need Adobe Reader to open PDFs on this site. You can call 1-855-231-3716to ask for a printed copy of the health survey. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Use your ZIP Code to find your personal plan. Copyright 2023 Centene Corporation. What is Ambetter? Youre dedicated to your patients, so were dedicated to you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Healthcare is essential. Access Daily Patient Lists from One Screen. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. All rights reserved. Secure messaging between provider & Ambetter from Magnolia Health. 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. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. What is Ambetter? $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Contact Us for more information. Use the tabs or the previous and next buttons to change the displayed slide. Make your first payment to access great benefits. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Get medical help from doctors via video and phone. See what vision and dental coverage is available for you. Non-discrimination notice and language assistance. Find everything you need in the member online account, Date: Download the free version of Adobe Reader. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Find your health info and healthnumbers. Use your ZIP Code to find your personal plan. 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. 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. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. 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. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Ambetter Health has your back every step of the way on your personal health and wellness journey. Please visitSuperior's QI Program. Login to Your Account Access your secure provider information any time. 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. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Your Texas Benefitsprovidesthe info on the next page. You're dedicated to your patients, so we're dedicated to you. What is Ambetter? 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. Contact Ambetter from Meridian at 1-833-993-2426. 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. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Or choose Go on tomove forward to Aetna.com. You will need Adobe Reader to open PDFs on this site. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Login Log in Forgot your password? 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. And you can access Telehealth on your computer or smart phone anywhere and anytime. 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. To find out more information, pleaseselect your state below. 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. You can access your plan information and pay your premium. Use your ZIP Code to find your personal plan. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Newsroom. Another group or vendor provides the info on the next page. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Connect your fitness devices and track yourprogress. Just log in. 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. Quality Improvement resources have moved. Or choose Go on to move forwardtoYour Texas Benefits. Copyright 2023 Celtic Insurance Company. Use your ZIP Code to find your personal plan. Always on the go? Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Ambetter does not provide medical care. Your area isn't covered? All rights reserved. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. National Imaging Associates (NIA)resources have moved. 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. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Plus, its no cost for members. Your online member account is a powerful tool that puts you in control of your health coverage. 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. **Restrictions apply. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. 08/07/20. Questions? Manage patient administrative tasks quickly and easily. Log in to: Digital ID: Get your digital ID card anytime on your online member account. 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. Aetna Better Health provides the general info on the next page. Date: Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. What is Ambetter? They've always been able to count on you. Interested in becoming an Ambetter provider? Theyve always been able to count on you. You have many convenient ways to make your payment. 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. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Submit and manage claims, including batch files, for free. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Find everything you need in the member online account. You will need Adobe Reader to open PDFs on this site. 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. Use your ZIP Code to find your personal plan.
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