Contact Ambetter from Meridian at 1-833-993-2426. All rights reserved. Copyright 2023 Celtic Insurance Company. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. All Rights Reserved. Simply call Superior Member Services. show Join Ambetter from AZ Complete Health menu. Healthcare designed for you. Use your ZIP Code to find your personal plan. All rights reserved. Superior HealthPlan News. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. That way, you can focus on your patients. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Please select Member in the dropdown menu to log in to or create your secure online member account. Your Ambetter online member account puts you in control of your health plan. Stay up to date with the latest news and announcements. 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. And, as a partner with Ambetter, you'll be able to count on us. Visit Provider.ambettermeridian.com and click Create an Account. At the end of the day, our job is to make yours easier. Contact Us for more information. Use your ZIP Code to find your personal plan. Please visitSuperior's QI Program. Youre dedicated to your patients, so were dedicated to you. Always on the go? Find everything you need in the member online account. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. If you dont want to leave the member site, choose the X in the upper right corner to close this message. View detailed Electronic Funds Transfer (EFT) payment history. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. 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. You will need Adobe Reader to open PDFs on this site. Effective 1/1: Electronic Prescribing of Controlled Substances Required. It has info for health care providers. That way, you can focus on your patients. Learn More. Theyve always been able to count on you. Your Texas Benefitsprovidesthe info on the next page. Your area isn't covered? Provider Reminders: Claims Definitions. Together, we're on a mission for better health insurance and healthier lives. Your area isn't covered? The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Visibility of Multiple TINs. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. You can access a digital copy of your Member ID anytime by logging in to your online member account. Find and enroll in a plan that's right for you. Use our tool to see if a pre-authorization is needed. 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 Just log in. Use your ZIP Code to find your personal plan. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 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. Billing Resources Electronic Visit Verification (EVV) **Restrictions apply. Because protecting peoples health is why were here, and its what well always do. 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. Use your ZIP Code to find your personal plan. That way, you can focus on your patients. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. What is Ambetter? Don't miss out on your affordable health plan! Use your ZIP Code to find your personal plan. What is Ambetter? Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Find everything you need in the member online account. Copyright 2023 Celtic Insurance Company. Copyright 2023 Centene Corporation. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Use your ZIP Code to find your personal plan. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Access Daily Patient Lists from One Screen. Or choose Go on to move forward. Youre dedicated to your patients, so were dedicated to you. Newsroom. Copyright 2022 Aetna Better Health of Texas. You will need Adobe Reader to open PDFs on this site. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico What is Ambetter from Arizona Complete Health? Get coaching on funnew ways to improve yourhealth. Just log in to manage your plan benefits and health goals from anywhere. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. 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. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Another group or vendor provides the info on the next page. Just visit your MemberPortal. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Theyve always been able to count on you. Submit and manage claims, including batch files, for free. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. We're dedicated to helping your practice run as . 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. Contact Us for more information. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Aetnaprovides infoabout COVID-19on the next page. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Copyright 2023 Centene Corporation. Contact Us for more information. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . What is Ambetter? Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Or choose Go on tomove forward to Aetna.com. 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. What you need to know about the Coronavirus. Your Ambetter online member account puts you in control of your health plan. . National Imaging Associates (NIA)resources have moved. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. All rights reserved. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Questions? Secure messaging between provider & Ambetter from Magnolia Health. 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. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. The Ambetter from Peach State Health Plan login portal is where you manage your account. 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. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). 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. Discover all the ways you can manage your coverage. Copyright 2023 Celtic Insurance Company. Ambetter from Arizona Complete Health can help. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. You will need Adobe Reader to open PDFs on this site. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Non-discrimination notice and language assistance. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. 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. Access your secure provider information any time. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Quality Improvement resources have moved. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Log in to: Digital ID: Get your digital ID card anytime on your online member account. 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. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Download the free version of Adobe Reader. 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. You can access your plan information and pay your premium. Use our helpful resources to deliver the best quality of care. All rights reserved. And you can access Telehealth on your computer or smart phone anywhere and anytime. Make your first payment to access great benefits. If you dont want to leave our site, choose the X in the upper right corner to close this message. 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. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Manage Batch Claims for Free. You can also ask for info on health conditions and wellness topics in print. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Date: Have your tax ID number ready during sign up. You're dedicated to your patients, so we're dedicated to you. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. If you dont want to leave our site, choose the X in the upper right corner to close this message. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Visit Provider.ambettermeridian.com and click Create an Account. 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. 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. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Access Daily Patient Lists from One Screen. You can call 1-855-231-3716to ask for a printed copy of the health survey. We would love to hear from you! Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. View patient demographics & history. Join Ambetter show Join Ambetter menu Pay now to activate the health benefits you deserve. View our Preferred Drug List to see what drugs are covered. Use your ZIP Code to find your personal plan. All rights reserved. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. 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. Just download the app from the AppleApp Store or the Google Playstore. What is Ambetter? 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. Theyve always been able to count on you. There, you can view your digital ID, download it to your smartphone, or print a copy. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Your online member account is a powerful tool that puts you in control of your health coverage. The app lets you access all the benefits of your Member Portal anytime, anywhere. Setting up your online member account is easier than ever it only takes a few minutes. Have your tax ID number ready during sign up. 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. Aetna Better Health provides the general info on the next page. They've always been able to count on you. 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 Health has your back every step of the way on your personal health and wellness journey. Login to Your Account Access your secure provider information any time.