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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 the member site, choose the X in the upper right corner to close this message. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Your area isn't covered? And, as a partner with Ambetter, youll be able to count on us. You will need Adobe Reader to open PDFs on this site. Or choose Go on tomove forward to Aetna.com. We would love to hear from you! You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Learn More. View patient demographics & history. If you dont want to leave our site, choose the X in the upper right corner to close this message. Ambetter. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. 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. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Copyright 2023 Celtic Insurance Company. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Loading Access Daily Patient Lists from One Screen. Give us a call if you have any questions as you shop and explore . View detailed Electronic Funds Transfer (EFT) payment history. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Or use your Aetna Better Healthapp to take your benefits on the go. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. All rights reserved. Ambetter does not provide medical care. 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. 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. 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. And you can access Telehealth on your computer or smart phone anywhere and anytime. Discover all the ways you can manage your coverage. Ambetter from Arizona Complete Health can help. Non-discrimination notice and language assistance. You can do so much more with your health plan when you create an account in your Member Portal. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Login to Your Account Access your secure provider information any time. All rights reserved. At the end of the day, our job is to make yours easier. 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. Theyve always been able to count on you. Pay now to activate the health benefits you deserve. Find everything you need in the member online account. Infographic Description. Secure messaging between provider & Ambetter from Magnolia Health. Or choose Go on to move forwardtoYour Texas Benefits. Youre going to the provider website. You cansign uponlineorcontact us. Your Ambetter coverage includes no-cost in-network Telehealth services. 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.. 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). Get coaching on funnew ways to improve yourhealth. All rights reserved. Use our helpful resources to deliver the best quality of care. Another group or vendor provides the info on the next page. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Interested in becoming an Ambetter provider? https://provider.sunshinestatehealth.com/. 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. Just visit your MemberPortal. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Update provider demographics. Print or download it to your smart phone so you always have it with you. A flu shot protects you and those you love. 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. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. 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. Healthcare designed for you. Join Ambetter show Join Ambetter menu Join Ambetter show Join Ambetter menu Visit Provider.ambettermeridian.com and click Create an Account. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Manage Batch Claims for Free. Ambetter Health has your back every step of the way on your personal health and wellness journey. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Youre dedicated to your patients, so were dedicated to you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Please select Member in the dropdown menu to log in to or create your secure online member account. You're dedicated to your patients, so we're dedicated to you. 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. Register your account today! show Join Ambetter from AZ Complete Health menu. Superior HealthPlan News. Don't miss out on your affordable health plan! Earn rewards for taking charge of your health. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Protected, Convenient Access at Your Fingertips. 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. No problem. Find and enroll in a plan that's right for you. You will need Adobe Reader to open PDFs on this site. 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/. Go to Member.AmbetterHealth.comand complete a few simple steps to register. 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. Plus, its no cost for members. Youre dedicated to your patients, so were dedicated to you. Visit https://member.ambetterhealth.com for more details. Theyve always been able to count on you. Always on the go? Use your ZIP Code to find your personal plan. Copyright 2022 Aetna Better Health of Texas. All Rights Reserved. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Billing Resources Electronic Visit Verification (EVV) 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. Find everything you need in the member online account, Date: Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. At the end of the day, our job is to make yours easier. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Use our tool to see if a pre-authorization is needed. 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. What is Ambetter? It has info for health care providers. 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. Review clinical and payment policy information. Log in today to find the care option thats right for you. 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. What you need to know about the Coronavirus. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Make your first payment to access great benefits. Get personalized help managing diabetes, asthma and other chronic conditions. . Have your tax ID number ready during sign up. All rights reserved. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 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. And, as a partner with Ambetter, youll be able to count on us. Simply call Superior Member Services. Get medical help from doctors via video and phone. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Please select your state. Connect your fitness devices and track yourprogress. 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. That way, you can focus on your patients. That way, you can focus on your patients. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Setting up your online member account is easier than ever it only takes a few minutes. Copyright 2023 Celtic Insurance Company. Contact Us for more information. Your area isn't covered? We're dedicated to helping your practice run as . You will need Adobe Reader to open PDFs on this site. Find everything you need in the member online account. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. 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 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. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Use your ZIP Code to find your personal plan. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Copyright 2023 Meridian Health Plan of Michigan, Inc. 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. Submit and manage claims, including batch files, for free. Visit Provider.ambettermeridian.com and click Create an Account. 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. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Yes. You can call 1-855-231-3716to ask for a printed copy of the health survey. Members must qualify for and complete all activities to receive $500 or more. You can access a digital copy of your Member ID anytime by logging in to your online member account. You will need Adobe Reader to open PDFs on this site. Just download the app from the AppleApp Store or the Google Playstore. Login Welcome to the Login page. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Quality Improvement resources have moved. Use your ZIP Code to find your personal plan. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Use your ZIP Code to find your personal plan. Copyright 2023 Arizona Complete Health. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Find and enroll in a plan that's right for you. Or choose Go on to move forward to the provider website. Check Now Provider Resources Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for 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. At the end of the day, our job is to make yours easier. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Your Texas Benefitsprovidesthe info on the next page. Download the free version of Adobe Reader. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing.