Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. And, as a partner with Ambetter, you'll be able to count on us. Copyright 2023 Centene Corporation. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Simply call Superior Member Services. 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. If you dont want to leave our site, choose the X in the upper right corner to close this message. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Ambetter offers a variety of plans for all budgets and needs. At the end of the day, our job is to make yours easier. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. All Rights Reserved. 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.. There, you can view your digital ID, download it to your smartphone, or print a copy. Register your account today! 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. Find everything you need in the member online account, Date: Login Welcome to the Login page. Use your ZIP Code to find your personal plan. Find everything you need in the member online account. Discover all the ways you can manage your coverage. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Use your ZIP Code to find your personal plan. Find everything you need in the member online account. Don't miss out on your affordable health plan! Healthcare designed for you. It has info for health care providers. You will need Adobe Reader to open PDFs on this site. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Just download the app from the AppleApp Store or the Google Playstore. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Copyright 2023 Arizona Complete Health. Discover all the ways you can manage your coverage. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Just log in. Or choose Go on to move forward to the main Aetna Medicaid website. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Use our tool to see if a pre-authorization is needed. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. 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. Date: All Rights Reserved. Use your ZIP Code to find your personal plan. Healthcare is essential. No problem. Log in today to find the care option thats right for you. You can call 1-855-231-3716to ask for a printed copy of the health survey. 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. 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. Download the free version of Adobe Reader. You cansign uponlineorcontact us. 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. 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. Or choose Go on tomove forward to Aetna.com. Find and enroll in a plan that's right for you. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. 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. 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. Youre dedicated to your patients, so were dedicated to you. Find and enroll in a plan that's right for you. 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). You will need Adobe Reader to open PDFs on this site. What is Ambetter? All rights reserved. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Download the free version of Adobe Reader. Ambetter from Arizona Complete Health can help. The app lets you access all the benefits of your Member Portal anytime, anywhere. 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. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. You can access a digital copy of your Member ID anytime by logging in to your online member account. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Use your ZIP Code to find your personal plan. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Visit Provider.ambettermeridian.com and click Create an Account. Contact Ambetter from Meridian at 1-833-993-2426. Just log in to manage your plan benefits and health goals from anywhere. Visit https://member.ambetterhealth.com for more details. We would love to hear from you! Check out health resources, send us questions and more. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. You will need Adobe Reader to open PDFs on this site. Ambetter Health has your back every step of the way on your personal health and wellness journey. 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. Contact Us for more information. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Register your account today! You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Copyright 2022 Aetna Better Health of Texas. Find and enroll in a plan that's right for you. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Another group or vendor provides the info on the next page. Manage patient administrative tasks quickly and easily. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Have your tax ID number ready during sign up. Protected, Convenient Access at Your Fingertips. See what vision and dental coverage is available for you. What you need to know about the Coronavirus. 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. You can also ask for info on health conditions and wellness topics in print. All rights reserved. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Loading 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. To find out more information, pleaseselect your state below. Non-discrimination notice and language assistance. 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. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Questions? Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Find and enroll in a plan that's right for you. Use our helpful resources to deliver the best quality of care. Go to Member.AmbetterHealth.comand complete a few simple steps to register. 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. Find everything you need in the member online account. Plus, its no cost for members. As part of the nations No. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Copyright 2023 Celtic Insurance Company. 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. You're dedicated to your patients, so we're dedicated to you. You will need Adobe Reader to open PDFs on this site. show Join Ambetter from AZ Complete Health menu. Be sure to have your member ID and email addresshandy. 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. Join Ambetter show Join Ambetter menu They've always been able to count on you. Access your secure provider information any time. Use your ZIP Code to find your personal plan. Find everything you need in the member online account. What is Ambetter? You will need Adobe Reader to open PDFs on this site. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. You will need Adobe Reader to open PDFs on this site. Login to Your Account Access your secure provider information any time. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Join Ambetter show Join Ambetter menu One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Or choose Go on to move forward to the provider website. Your Ambetter online member account puts you in control of your health plan. 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. *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. All rights reserved. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Have your tax ID number ready during sign up. Check Now Provider Resources If you dont want to leave our site, choose the X in the upper right corner to close this message. Get coaching on funnew ways to improve yourhealth. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Pay now to activate the health benefits you deserve. What you need to know about the Coronavirus. That way, you can focus on your patients. Theyve always been able to count on you. Or access MyActiveHealthwith your smartphone. At the end of the day, our job is to make yours easier. Find and enroll in a plan that's right for you. Stay up to date with the latest news and announcements. Your area isn't covered? Access Daily Patient Lists from One Screen. 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. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Join Ambetter show Join Ambetter menu Print or download it to your smart phone so you always have it with you. 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. And, as a partner with Ambetter, youll be able to count on us. Ambetter does not provide medical care. 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. Your area isn't covered? All rights reserved. Your online member account is a powerful tool that puts you in control of your health coverage. Theyve always been able to count on you. You can do so much more with your health plan when you create an account in your Member Portal. Visit Provider.ambettermeridian.com and click Create an Account. Secure messaging between provider & Ambetter from Magnolia Health. 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. Ready to learn more? You're dedicated to your patients, so we're dedicated to you. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Youre dedicated to your patients, so were dedicated to you. Your area isn't covered? One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. All rights reserved. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Visibility of Multiple TINs. You can access your plan information and pay your premium. Join Ambetter show Join Ambetter menu Copyright 2023 Celtic Insurance Company. Use your ZIP Code to find your personal plan. Yes. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Because protecting peoples health is why were here, and its what well always do. Use your ZIP Code to find your personal plan. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. 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. Get personalized help managing diabetes, asthma and other chronic conditions. What is Ambetter? ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. The Ambetter from Peach State Health Plan login portal is where you manage your account. For Providers show For Providers menu. View detailed Electronic Funds Transfer (EFT) payment history. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Infographic Description. Copyright 2023 Celtic Insurance Company. 08/07/20.