You will need Adobe Reader to open PDFs on this site. Connect your fitness devices and track yourprogress. Copyright 2023 Celtic Insurance Company. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Ambetter Health has your back every step of the way on your personal health and wellness journey. 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. To find out more information, pleaseselect your state below. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. 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 Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. All rights reserved. Setting up your online member account is easier than ever it only takes a few minutes. Discover all the ways you can manage your coverage. Use your ZIP Code to find your personal plan. 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. Give us a call if you have any questions as you shop and explore . 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). National Imaging Associates (NIA)resources have moved. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Use our tool to see if a pre-authorization is needed. Visibility of Multiple TINs. 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. They've always been able to count on you. 11/15/21. Newsroom. Loading All Rights Reserved. Access Daily Patient Lists from One Screen. Provider Reminders: Claims Definitions. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. 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. Superior HealthPlan News. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. 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. Billing Resources Electronic Visit Verification (EVV) 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. 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 - 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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. Healthcare is essential. Find everything you need in the member online account. You will need Adobe Reader to open PDFs on this site. Interested in becoming an Ambetter provider? 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.. That way, you can focus on your patients. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. For Providers show For Providers menu. Update provider demographics. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. What is Ambetter? Discover all the ways you can manage your coverage. Your Ambetter online member account puts you in control of your health plan. You will need Adobe Reader to open PDFs on this site. Ready to learn more? All rights reserved. Use your ZIP Code to find your personal 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. Questions? Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Or choose Go on tomove forward to Aetna.com. All rights reserved. Ambetter. Visit https://member.ambetterhealth.com for more details. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Or access MyActiveHealthwith your smartphone. 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. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. At the end of the day, our job is to make yours easier. Find and enroll in a plan that's right for you. You will need Adobe Reader to open PDFs on this site. Join Ambetter show Join Ambetter menu Simply call Superior Member Services. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Use the tabs or the previous and next buttons to change the displayed slide. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Youre dedicated to your patients, so were dedicated to you. 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. Join Ambetter show Join Ambetter menu Date: Check Now Provider Resources Copyright 2023 Arizona Complete Health. 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. Log in today to find the care option thats right for you. Join Ambetter show Join Ambetter menu Quality Improvement resources have moved. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. *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. You can access your plan information and pay your premium. Use your ZIP Code to find your personal plan. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. You can call 1-855-231-3716to ask for a printed copy of the health survey. See what vision and dental coverage is available for you. Get coaching on funnew ways to improve yourhealth. You will need Adobe Reader to open PDFs on this site. 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. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Find everything you need in the member online account. Get personalized help managing diabetes, asthma and other chronic conditions. Login to Your Account Access your secure provider information any time. You will need Adobe Reader to open PDFs on this site. Just log in to manage your plan benefits and health goals from anywhere. You cansign uponlineorcontact us. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. And you can access Telehealth on your computer or smart phone anywhere and anytime. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Always on the go? A flu shot protects you and those you love. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Contact Us for more information. Because protecting peoples health is why were here, and its what well always do. 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. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. 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. What is Ambetter from Arizona Complete Health? Another group or vendor provides the info on the next page. Find and enroll in a plan that's right for you. Please visitSuperior's QI Program. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Use your ZIP Code to find your personal plan. Login Welcome to the Login page. The app lets you access all the benefits of your Member Portal anytime, anywhere. 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/. Your Ambetter coverage includes no-cost in-network Telehealth services. Take care of you and your baby with our maternity health programs. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. You have many convenient ways to make your payment. You can also ask for info on health conditions and wellness topics in print. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. 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. No problem. Ambetter from Arizona Complete Health can help. That way, you can focus on your patients. And, as a partner with Ambetter, youll be able to count on us. Plus, its no cost for members. Pay now to activate the health benefits you deserve. What you need to know about the Coronavirus. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Just visit your MemberPortal. If you dont want to leave our site, choose the X in the upper right corner to close this message. If you dont want to leave our site, choose the X in the upper right corner to close this message. View detailed Electronic Funds Transfer (EFT) payment history. All rights reserved. Infographic Description. Check out health resources, send us questions and more. 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. Use your ZIP Code to find your personal plan. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? What you need to know about the Coronavirus. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. You can get answers to medical questions and care advice even prescriptions. Simply call Superior Member Services. Find everything you need in the member online account. You're dedicated to your patients, so we're dedicated to you. And as a partner with Ambetter, youll be able to count on us. Find and enroll in a plan that's right for you. You will need Adobe Reader to open PDFs on this site. 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. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Submit and manage claims, including batch files, for free. Or choose Go on to move forward to the main Aetna Medicaid website. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. You can access a digital copy of your Member ID anytime by logging in to your online member account. Earn rewards for taking charge of your health. Find health tips, financial advice and more to build a healthier life. Visit Provider.ambettermeridian.com and click Create an Account. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Download the free version of Adobe Reader. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 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. Use your ZIP Code to find your personal plan. 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. Have your tax ID number ready during sign up. Find everything you need in the member online account, Date: Print or download it to your smart phone so you always have it with you. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Theyve always been able to count on you. All rights reserved. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Review clinical and payment policy information. 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. Visit Provider.ambettermeridian.com and click Create an Account. Find your health info and healthnumbers. We would love to hear from you! Use your ZIP Code to find your personal plan. Access Daily Patient Lists from One Screen. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. At the end of the day, our job is to make yours easier. 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 to move forwardtoYour Texas Benefits. All Rights Reserved. *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. Be sure to have your member ID and email addresshandy. Register your account today! You will need Adobe Reader to open PDFs on this site. At the end of the day, our job is to make yours easier. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Make your first payment to access great benefits. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. And, as a partner with Ambetter, youll be able to count on us. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations.