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Print or download it to your smart phone so you always have it with you. You can call 1-855-231-3716to ask for a printed copy of the health survey. Login Welcome to the Login page. Please visitSuperior's QI Program. Learn More. If you dont want to leave our site, choose the X in the upper right corner to close this message. Superior HealthPlan News. Or choose Go on to move forward to the provider website. Effective 1/1: Electronic Prescribing of Controlled Substances Required. 11/15/21. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. To find out more information, pleaseselect your state below. Just visit your MemberPortal. Use your ZIP Code to find your personal plan. All rights reserved. You're dedicated to your patients, so we're dedicated to you. Find a Doctor Near You | Ambetter Ambetter Guide Find nearby in-network care Log in for the most accurate results Logging in helps us find you the most accurate results for your plan. Or access MyActiveHealthwith your smartphone. Check out health resources, send us questions and more. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Contact Ambetter from Meridian at 1-833-993-2426 Your area isn't covered? There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Another group or vendor provides the info on the next page. Non-discrimination notice and language assistance. **Restrictions apply. Register your account today! It has info for health care providers. All rights reserved. Copyright 2022 Aetna Better Health of Texas. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. See coverage in your area Find doctors and hospitals View pharmacy program benefits View essential health benefits Find and enroll in a plan that's right for you. Use your ZIP Code to find your personal plan. The app lets you access all the benefits of your Member Portal anytime, anywhere. Visit Provider.ambettermeridian.com and click Create an Account. Always on the go? Simply call Superior Member Services. See what vision and dental coverage is available for you. We're dedicated to helping your practice run as . You're dedicated to your patients, so we're dedicated to you. Copyright 2023 Celtic Insurance Company. Discover all the ways you can manage your coverage. *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. 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. Your Texas Benefitsprovidesthe info on the next page. What is Ambetter? Youre going to the provider website. Join Ambetter show Join Ambetter menu The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Quality Improvement resources have moved. 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. What is Ambetter from Arizona Complete Health? What is Ambetter? What is Ambetter? You can get answers to medical questions and care advice even prescriptions. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. A flu shot protects you and those you love. Access your secure provider information any time. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Find and enroll in a plan that's right for you. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Or use your Aetna Better Healthapp to take your benefits on the go. Your area isn't covered? You can do a lot inside your Member Portal. 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. That way, you can focus on your patients. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. You can do so much more with your health plan when you create an account in your Member Portal. 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. Aetna Better Health provides the general info on the next page. Just log in to manage your plan benefits and health goals from anywhere. What is Ambetter? Update provider demographics. Theyve always been able to count on you. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. All rights reserved. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Youre dedicated to your patients, so were dedicated to you. Ambetter does not provide medical care. Get medical help from doctors via video and phone. Visibility of Multiple TINs. Discover all the ways you can manage your coverage. All rights reserved. You can access a digital copy of your Member ID anytime by logging in to your online member account. Provider Reminders: Claims Definitions. Contact Us for more information. 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. And, as a partner with Ambetter, youll be able to count on us. At the end of the day, our job is to make yours easier. 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. Give us a call if you have any questions as you shop and explore . For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). You cansign uponlineorcontact us. Find and enroll in a plan that's right for you. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. 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. Log in today to find the care option thats right for you. 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. 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. Download the free version of Adobe Reader. Find health tips, financial advice and more to build a healthier life. Find and enroll in a plan that's right for you. Members must qualify for and complete all activities to receive $500 or more. 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. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Please select Member in the dropdown menu to log in to or create your secure online member account. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. No problem. Or choose Go on to move forwardtoYour Texas Benefits. Theyve always been able to count on you. You will need Adobe Reader to open PDFs on this site. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Review clinical and payment policy information. Your Ambetter online member account puts you in control of your health plan. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. At the end of the day, our job is to make yours easier. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Ambetter Health has your back every step of the way on your personal health and wellness journey. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. They've always been able to count on you. Use our helpful resources to deliver the best quality of care. If you dont want to leave our site, choose the X in the upper right corner to close this message. Have your tax ID number ready during sign up. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. Billing Resources Electronic Visit Verification (EVV) You will need Adobe Reader to open PDFs on this site. Login Log in Forgot your password? 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/. 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. 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 everything you need in the member online account. You can also ask for info on health conditions and wellness topics in print. Because protecting peoples health is why were here, and its what well always do. 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. 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. Your area isn't covered? That way, you can focus on your patients. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Your Ambetter online member account puts you in control of your health plan. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Use your ZIP Code to find your personal plan. Use your ZIP Code to find your personal plan. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; 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. Date: Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. 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. Ready to learn more? Use our tool to see if a pre-authorization is needed. Take care of you and your baby with our maternity health programs. 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. Copyright 2023 Arizona Complete Health. Get coaching on funnew ways to improve yourhealth. 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. Make your first payment to access great benefits. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. You can access your plan information and pay your premium. Earn rewards for taking charge of your health. *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. Or choose Go on to move forward. Just log in. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. National Imaging Associates (NIA)resources have moved. Visit https://member.ambetterhealth.com for more details. Use your ZIP Code to find your personal plan. 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. Just download the app from the AppleApp Store or the Google Playstore. I understand that my information will be used in accordance with my plan notice of privacy practices. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Use your ZIP Code to find your personal plan. Join Ambetter show Join Ambetter menu You will need Adobe Reader to open PDFs on this site. Or choose Go on to move forward to the main Aetna Medicaid website. Youre dedicated to your patients, so were dedicated to you. 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. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. As part of the nations No. Access Daily Patient Lists from One Screen. Make your first payment to access great benefits. We would love to hear from you! https://provider.sunshinestatehealth.com/. You will need Adobe Reader to open PDFs on this site. . Register your account today! For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Aetnaprovides infoabout COVID-19on the next page. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Ambetter from Arizona Complete Health can help. Your online member account is a powerful tool that puts you in control of your health coverage. You will need Adobe Reader to open PDFs on this site. Were here foryouMonday through Friday, 8 AM to 5 PM. Just log in. Please select Member in the dropdown menu to log in to or create your secure online member account. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. 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. Don't miss out on your affordable health plan! You will need Adobe Reader to open PDFs on this site. Find and enroll in a plan that's right for you. Copyright 2023 Centene Corporation. Questions? And you can access Telehealth on your computer or smart phone anywhere and anytime. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Your Ambetter coverage includes no-cost in-network Telehealth services. What you need to know about the Coronavirus. Use your ZIP Code to find your personal plan. 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. If you dont want to leave our site, choose the X in the upper right corner to close this message. Find and enroll in a plan that's right for you. Yes. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Manage Batch Claims for Free. Use your ZIP Code to find your personal plan. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. You will need Adobe Reader to open PDFs on this site. Copyright 2023 Centene Corporation. That way, you can focus on your patients. Be sure to have your member ID and email addresshandy. Interested in becoming an Ambetter provider? Plus, its no cost for members. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Use your ZIP Code to find your personal plan. Contact Us for more information. Stay up to date with the latest news and announcements. The fee displayed is the allowable rate for this service. Contact Us for more information. Copyright 2023 Centene Corporation. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Use the tabs or the previous and next buttons to change the displayed slide. Join Ambetter show Join Ambetter menu Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Find everything you need in the member online account. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for you. Join Ambetter show Join Ambetter menu Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. 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. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits.