Use your ZIP Code to find your personal plan. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Questions? Use your ZIP Code to find your personal plan. Your Texas Benefitsprovidesthe info on the next page. Loading Find your health info and healthnumbers. Simply call Superior Member Services. Youre dedicated to your patients, so were dedicated to you. Use your ZIP Code to find your personal plan. 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). Ambetter Health has your back every step of the way on your personal health and wellness journey. You will need Adobe Reader to open PDFs on this site. Make your first payment to access great benefits. What is Ambetter? Your online member account is a powerful tool that puts you in control of your health coverage. Find everything you need in the member online account. 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. 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 from Sunshine Health Login | Manage Your Account Online Use your ZIP Code to find your personal plan. 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. Just log in to manage your plan benefits and health goals from anywhere. Secure messaging between provider & Ambetter from Magnolia Health. Copyright 2023 Centene Corporation. See what vision and dental coverage is available for you. Your area isn't covered? Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Tax Information - Ambetter Health With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Your Ambetter online member account puts you in control of your health plan. The fee displayed is the allowable rate for this service. Find health tips, financial advice and more to build a healthier life. Find a Healthcare Provider - Ambetter Health Online Member Account | Ambetter Or choose Go on to move forward to the main Aetna Medicaid website. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Connect your fitness devices and track yourprogress. You will need Adobe Reader to open PDFs on this site. 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. 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/. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. *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. Join Ambetter show Join Ambetter menu https://provider.sunshinestatehealth.com/. Theyve always been able to count on you. Contact Us for more information. And, as a partner with Ambetter, youll be able to count on us. Stay up to date with the latest news and announcements. 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. You will need Adobe Reader to open PDFs on this site. Effective 1/1: Electronic Prescribing of Controlled Substances Required. At the end of the day, our job is to make yours easier. Affordable Health Insurance in Arizona | Ambetter from Arizona Complete You have many convenient ways to make your payment. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Check Now Provider Resources Find and enroll in a plan that's right for you. National Imaging Associates (NIA)resources have moved. Billing Resources Electronic Visit Verification (EVV) Copyright 2023 Celtic Insurance Company. Ambetter from Superior HealthPlan Login | Manage Your Account Online 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. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Earn rewards for taking charge of your health. Behavioral Health | Provider Resources | Superior HealthPlan Don't miss out on your affordable health plan! Ambetter does not provide medical care. 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 Your Ambetter coverage includes no-cost in-network Telehealth services. What is Ambetter? All rights reserved. Aetnaprovides infoabout COVID-19on the next page. 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. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. View our Preferred Drug List to see what drugs are covered. Pay now to activate the health benefits you deserve. 08/07/20. Join Ambetter show Join Ambetter menu Manage Batch Claims for Free. . You will need Adobe Reader to open PDFs on this site. Discover all the ways you can manage your coverage. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Visibility of Multiple TINs. Because protecting peoples health is why were here, and its what well always do. A flu shot protects you and those you love. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. You can do so much more with your health plan when you create an account in your Member Portal. Ambetter from Superior HealthPlan Available in 145 Texas Counties You will need Adobe Reader to open PDFs on this site. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Simply call Superior Member Services. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Together, we're on a mission for better health insurance and healthier lives. Ambetter Peach State Health Plan Login | Manage Your Account Online Manage patient administrative tasks quickly and easily. Go to Member.AmbetterHealth.comand complete a few simple steps to register. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. 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. Find and enroll in a plan that's right for you. Please visitSuperior's QI Program. Use your ZIP Code to find your personal plan. Or choose Go on to move forward. And you can access Telehealth on your computer or smart phone anywhere and anytime. Join Ambetter show Join Ambetter menu Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. All Rights Reserved. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Submit and manage claims, including batch files, for free. If you dont want to leave our site, choose the X in the upper right corner to close this message. They've always been able to count on you. Welcome Texas Providers! - Envolve Dental Login Just log in. Interested in becoming an Ambetter provider? Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Provider Reminders: Claims Definitions. Health Insurance Resources for Providers | Ambetter - Sunshine Health Update provider demographics. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Contact Us for more information. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Access Daily Patient Lists from One Screen. Contact Ambetter from Meridian at 1-833-993-2426. That way, you can focus on your patients. 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 - 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. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. All rights reserved. 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. View detailed Electronic Funds Transfer (EFT) payment history. Get medical help from doctors via video and phone. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . At the end of the day, our job is to make yours easier. You will need Adobe Reader to open PDFs on this site. Contact Us | Ambetter If you dont want to leave our site, choose the X in the upper right corner to close this message. You're dedicated to your patients, so we're dedicated to you. What is Ambetter? Just visit your MemberPortal. *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. Ambetter: How to Contact Us Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Ambetter Health Insurance Plans | Ambetter All rights reserved. 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. Visit Provider.ambettermeridian.com and click Create an Account. Fee Schedules - TMHP The Ambetter from Peach State Health Plan login portal is where you manage your account. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Ambetter from Arizona Complete Health can help. Find a Doctor Near You | Ambetter - Find a Healthcare Provider Please select Member in the dropdown menu to log in to or create your secure online member account. 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. Copyright 2023 Centene Corporation. 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. Ambetter | Health Insurance Marketplace 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. 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. Ready to learn more? Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Login to Your Account Access your secure provider information any time. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. All rights reserved. We would love to hear from you! Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Or access MyActiveHealthwith your smartphone. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. All rights reserved. If you dont want to leave the member site, choose the X in the upper right corner to close this message. 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. Member Portal | Aetna Medicaid Texas Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Members must qualify for and complete all activities to receive $500 or more. Plus, its no cost for members. Date: Setting up your online member account is easier than ever it only takes a few minutes. 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. Discover all the ways you can manage your coverage. Your area isn't covered? What is Ambetter from Arizona Complete Health? At the end of the day, our job is to make yours easier. Make your first payment to access great benefits. 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. Discover all the ways you can manage your coverage. Healthcare designed for you. No problem. Use your ZIP Code to find your personal plan. Log in to: Digital ID: Get your digital ID card anytime on your online member account. 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. **Restrictions apply. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Always on the go? If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. For Providers show For Providers menu. Get personalized help managing diabetes, asthma and other chronic conditions. 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. It has info for health care providers. Use your ZIP Code to find your personal plan. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Please select your state. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Or choose Go on to move forwardtoYour Texas Benefits. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. You will need Adobe Reader to open PDFs on this site. 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. 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. Be sure to have your member ID and email addresshandy. Give us a call if you have any questions as you shop and explore . Forms - Ambetter Health You're dedicated to your patients, so we're dedicated to you. Just download the app from the AppleApp Store or the Google Playstore. Login Log in Forgot your password? Your Ambetter online member account puts you in control of your health plan. Join Ambetter show Join Ambetter menu Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Download the free version of Adobe Reader. You will need Adobe Reader to open PDFs on this site. Your Ambetter online member account puts you in control of your health plan. Contact Ambetter from Meridian at 1-833-993-2426 Ambetter Arkansas Login | Manage Your Plan Online The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Provider News & Information | Texas Medicaid | Superior HealthPlan You can do a lot inside your Member Portal. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. 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. Grievance and Appeals Forms | Ambetter from Coordinated Care This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Copyright 2023 Celtic Insurance Company. All rights reserved. Or use your Aetna Better Healthapp to take your benefits on the go. To find out more information, pleaseselect your state below. 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. And, as a partner with Ambetter, you'll be able to count on us. You can get answers to medical questions and care advice even prescriptions. Non-discrimination notice and language assistance. 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. Ambetter Washington Login | Manage Your Plan Online I understand that my information will be used in accordance with my plan notice of privacy practices. Contact Us for more information. Youre going to the provider website. 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. Check out health resources, send us questions and more. Or choose Go on to move forward to the provider website.