**Restrictions apply. Aetna Better Health provides the general info on the next page. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Or choose Go on tomove forward to Aetna.com. Login to Your Account Access your secure provider information any time. 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. Theyve always been able to count on you. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. All rights reserved. And, as a partner with Ambetter, youll be able to count on us. Simply call Superior Member Services. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for 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 logs and tracks all complaints/grievances whether received verbally or in writing. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. You can do so much more with your health plan when you create an account in your Member Portal. All Rights Reserved. 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 . Access Daily Patient Lists from One Screen. 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. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Find your health info and healthnumbers. 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. You will need Adobe Reader to open PDFs on this site. Copyright 2023 Centene Corporation. Log in to: Digital ID: Get your digital ID card anytime on your online member account. All rights reserved. Use your ZIP Code to find your personal plan. Provider Toolkit Secure Provider Portal - Magnolia Health Plan Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Make your first payment to access great benefits. You have many convenient ways to make your payment. What is Ambetter? See what vision and dental coverage is available for you. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. You cansign uponlineorcontact us. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Discover all the ways you can manage your coverage. Simply call Superior Member Services. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Or access MyActiveHealthwith your smartphone. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Youre going to the provider website. Yes. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Ambetter Washington Login | Manage Your Plan Online Plus, its no cost for members. 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. Register your account today! Find everything you need in the member online account. At the end of the day, our job is to make yours easier. Use your ZIP Code to find your personal plan. Pay now to activate the health benefits you deserve. You will need Adobe Reader to open PDFs on this site. What you need to know about the Coronavirus. That way, you can focus on your patients. You can call 1-855-231-3716to ask for a printed copy of the health survey. Just visit your MemberPortal. View detailed Electronic Funds Transfer (EFT) payment history. 08/07/20. Use your ZIP Code to find your personal plan. Ambetter from Superior HealthPlan Available in 145 Texas Counties 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. All rights reserved. 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 | Ambetter Ambetter from Superior HealthPlan Login | Manage Your Account Online 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. All rights reserved. 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. Youre dedicated to your patients, so were dedicated to you. Your area isn't covered? Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. National Imaging Associates (NIA)resources have moved. 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. Use your ZIP Code to find your personal plan. You will need Adobe Reader to open PDFs on this site. For Providers show For Providers menu. Always on the go? You will need Adobe Reader to open PDFs on this site. Ready to learn more? And, as a partner with Ambetter, you'll be able to count on us. Online Member Account | Ambetter Ambetter Peach State Health Plan Login | Manage Your Account Online Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Just log in to manage your plan benefits and health goals from anywhere. I understand that my information will be used in accordance with my plan notice of privacy practices. If you dont want to leave your state site, choose the X in the upper right corner to close this message. What is Ambetter? Find health tips, financial advice and more to build a healthier life. Provider News & Information | Texas Medicaid | Superior HealthPlan Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Learn More. Use your ZIP Code to find your personal plan. Login Access your secure provider information any time. Check out health resources, send us questions and more. The app lets you access all the benefits of your Member Portal anytime, anywhere. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Billing Resources Electronic Visit Verification (EVV) Youre dedicated to your patients, so were dedicated to you. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Manage patient administrative tasks quickly and easily. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. A flu shot protects you and those you love. Your Texas Benefitsprovidesthe info on the next page. That way, you can focus on your patients. Ambetter from Arizona Complete Health can help. Theyve always been able to count on you. Get coaching on funnew ways to improve yourhealth. Find and enroll in a plan that's right for you. Contact Ambetter from Meridian at 1-833-993-2426. Don't miss out on your affordable health plan! Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. 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/. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. That way, you can focus on your patients. 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. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Ambetter Health has your back every step of the way on your personal health and wellness journey. Copyright 2023 Celtic Insurance Company. Infographic Description. Visibility of Multiple TINs. Use your ZIP Code to find your personal plan. Fee Schedules - TMHP Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Have your tax ID number ready during sign up. Your area isn't covered? Texas Provider Resources | Superior HealthPlan 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Use your ZIP Code to find your personal plan. Or choose Go on to move forwardtoYour Texas Benefits. Contact Ambetter from Meridian at 1-833-993-2426 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. Copyright 2023 Centene Corporation. If you dont want to leave our site, choose the X in the upper right corner to close this message. Use the tabs or the previous and next buttons to change the displayed slide. Questions? Ambetter offers a variety of plans for all budgets and needs. Because protecting peoples health is why were here, and its what well always do. View patient demographics & history. Newsroom. 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. *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. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Effective 1/1: Electronic Prescribing of Controlled Substances Required. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Make your first payment to access great benefits. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Your Ambetter online member account puts you in control of your health plan. They've always been able to count on you. 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.. Loading Or use your Aetna Better Healthapp to take your benefits on the go. 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 All rights reserved. Your Ambetter coverage includes no-cost in-network Telehealth services. Manage Batch Claims for Free. Find a Healthcare Provider - Ambetter Health 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. Behavioral Health | Provider Resources | Superior HealthPlan Tax Information - Ambetter Health Your area isn't covered? Download the free version of Adobe Reader. Texas Provider Resources | Ambetter from Superior HealthPlan Visit https://member.ambetterhealth.com for more details. What is Ambetter from Arizona Complete Health? We would love to hear from you! AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Check Now Provider Resources Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Download the free version of Adobe Reader. You can get answers to medical questions and care advice even prescriptions. 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. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. 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. 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