Earn rewards for taking charge of your health. Use the tabs or the previous and next buttons to change the displayed slide. What is Ambetter? Contact Us for more information. That way, you can focus on your patients. If you dont want to leave our site, choose the X in the upper right corner to close this message. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Or choose Go on tomove forward to Aetna.com. Access Daily Patient Lists from One Screen. Visit Provider.ambettermeridian.com and click Create an Account. Manage Batch Claims for Free. 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. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Because protecting peoples health is why were here, and its what well always do. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Use your ZIP Code to find your personal plan. Take care of you and your baby with our maternity health programs. What is Ambetter? 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. All rights reserved. All Rights Reserved. Find and enroll in a plan that's right for you. Or use your Aetna Better Healthapp to take your benefits on the go. To find out more information, pleaseselect your state below. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Make your first payment to access great benefits. Use your ZIP Code to find your personal plan. 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. Your Ambetter online member account puts you in control of your health plan. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. That way, you can focus on your patients. Manage patient administrative tasks quickly and easily. Provider Reminders: Claims Definitions. 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. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. You can call 1-855-231-3716to ask for a printed copy of the health survey. No problem. Find and enroll in a plan that's right for you. Check Now Provider Resources Get personalized help managing diabetes, asthma and other chronic conditions. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Copyright 2022 Aetna Better Health of Texas. *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. And as a partner with Ambetter, youll be able to count on us. 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. There, you can view your digital ID, download it to your smartphone, or print a copy. 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. 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 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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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. Visit https://member.ambetterhealth.com for more details. 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. Ambetter does not provide medical care. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. You will need Adobe Reader to open PDFs on this site. Get coaching on funnew ways to improve yourhealth. Yes. Join Ambetter show Join Ambetter menu View our Preferred Drug List to see what drugs are covered. At the end of the day, our job is to make yours easier. You're dedicated to your patients, so we're dedicated to you. Or choose Go on to move forward to the provider website. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Just log in. For Providers show For Providers menu. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Download the free version of Adobe Reader. Please select Member in the dropdown menu to log in to or create your secure online member account. Join Ambetter show Join Ambetter menu Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Stay up to date with the latest news and announcements. We're dedicated to helping your practice run as . Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. That way, you can focus on your patients. See what vision and dental coverage is available for you. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Or choose Go on to move forwardtoYour Texas Benefits. 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. https://provider.sunshinestatehealth.com/. 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. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. You can access your plan information and pay your premium. Ambetter from Arizona Complete Health can help. Use our tool to see if a pre-authorization is needed. Join Ambetter show Join Ambetter menu Find everything you need in the member online account, Date: You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. If you dont want to leave our site, choose the X in the upper right corner to close this message. What you need to know about the Coronavirus. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Please select your state. Contact Us for more information. Theyve always been able to count on you. Use your ZIP Code to find your personal plan. Or choose Go on to move forward to the main Aetna Medicaid website. If you dont want to leave the member site, choose the X in the upper right corner to close this message. You can also ask for info on health conditions and wellness topics in print. Visibility of Multiple TINs. 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 fee displayed is the allowable rate for this service. 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. Were here foryouMonday through Friday, 8 AM to 5 PM. Find everything you need in the member online account. What is Ambetter? Infographic Description. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Youre dedicated to your patients, so were dedicated to you. Just visit your MemberPortal. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Find and enroll in a plan that's right for you. Interested in becoming an Ambetter provider? 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). Your area isn't covered? I understand that my information will be used in accordance with my plan notice of privacy practices. Healthcare designed for you. Use your ZIP Code to find your personal plan. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Effective 1/1: Electronic Prescribing of Controlled Substances Required. 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. Your area isn't covered? Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Copyright 2023 Celtic Insurance Company. 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. Log in to: Digital ID: Get your digital ID card anytime on your online member account. 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 Daily Patient Lists from One Screen. Print or download it to your smart phone so you always have it with you. Pay now to activate the health benefits you deserve. What is Ambetter? Find your health info and healthnumbers. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. 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. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico 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. Use your ZIP Code to find your personal plan. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Join Ambetter show Join Ambetter menu 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 ZIP Code to find your personal plan. Or choose Go on to move forward. . Get medical help from doctors via video and phone. Superior HealthPlan News. Login Welcome to the Login page. National Imaging Associates (NIA)resources have moved. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Find everything you need in the member online account. And, as a partner with Ambetter, youll be able to count on us. 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. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Non-discrimination notice and language assistance. Find everything you need in the member online account. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. What is Ambetter? Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Review clinical and payment policy information. A flu shot protects you and those you love. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. All rights reserved. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Date: Submit and manage claims, including batch files, for free. Visit Provider.ambettermeridian.com and click Create an Account. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Or access MyActiveHealthwith your smartphone. Learn More. Use your ZIP Code to find your personal plan. Setting up your online member account is easier than ever it only takes a few minutes. As part of the nations No. Simply call Superior Member Services. Billing Resources Electronic Visit Verification (EVV) That way, you can focus on your patients. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. Just log in. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Find and enroll in a plan that's right for you. You're dedicated to your patients, so we're dedicated to you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Your area isn't covered? Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Contact Ambetter from Meridian at 1-833-993-2426. Your Texas Benefitsprovidesthe info on the next page. Your online member account is a powerful tool that puts you in control of your health coverage. Login to Your Account Access your secure provider information any time. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Just download the app from the AppleApp Store or the Google Playstore. Please visitSuperior's QI Program. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. All rights reserved. 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. Your Ambetter coverage includes no-cost in-network Telehealth services. You will need Adobe Reader to open PDFs on this site. 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. Discover all the ways you can manage your coverage. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. You have many convenient ways to make your payment. Connect your fitness devices and track yourprogress. 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. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Together, we're on a mission for better health insurance and healthier lives. Update provider demographics.
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