Access your secure provider information any time. And you can access Telehealth on your computer or smart phone anywhere and anytime. Copyright 2023 Centene Corporation. Login to Your Account Access your secure provider information any time. Ambetter offers a variety of plans for all budgets and needs. Your Ambetter online member account provides many ways to get care, including finding a Primary Care Provider (PCP), locating an in-network Urgent Care Center, or even accessing Telehealth services. Use our helpful resources to deliver the best quality of care. 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.. Find and enroll in a plan that's right for you. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. All rights reserved. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Log in to: Digital ID: Get your digital ID card anytime on your online member account. 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. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico 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. 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. Just download the app from the AppleApp Store or the Google Playstore. 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. All Rights Reserved. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. And, as a partner with Ambetter, you'll be able to count on us. All rights reserved. Use your ZIP Code to find your personal plan. View our Preferred Drug List to see what drugs are covered. National Imaging Associates (NIA)resources have moved. 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 and enroll in a plan that's right for you. 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. Visibility of Multiple TINs. You have many convenient ways to make your payment. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Discover all the ways you can manage your coverage. We would love to hear from you! Don't miss out on your affordable health plan! Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Be sure to have your member ID and email addresshandy. Copyright 2023 Celtic Insurance Company. 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. Copyright 2023 Celtic Insurance Company. Were here foryouMonday through Friday, 8 AM to 5 PM. Contact Ambetter from Meridian at 1-833-993-2426. No problem. https://provider.sunshinestatehealth.com/. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Join Ambetter show Join Ambetter menu Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Use your ZIP Code to find your personal plan. Have your tax ID number ready during sign up. 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. There, you can view your digital ID, download it to your smartphone, or print a copy. Just visit your MemberPortal. Find and enroll in a plan that's right for you. What you need to know about the Coronavirus. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Stay up to date with the latest news and announcements. Members must qualify for and complete all activities to receive $500 or more. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Loading Your Ambetter coverage includes no-cost in-network Telehealth services. Yes. Find everything you need in the member online account. 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. Find everything you need in the member online account. Manage Batch Claims for Free. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Simply call Superior Member Services. 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. And as a partner with Ambetter, youll be able to count on us. show Join Ambetter from AZ Complete Health menu. Please visitSuperior's QI Program. See what vision and dental coverage is available for you. At the end of the day, our job is to make yours easier. Because protecting peoples health is why were here, and its what well always do. Or choose Go on to move forward. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. You will need Adobe Reader to open PDFs on this site. Check out health resources, send us questions and more. View patient demographics & history. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Contact Us for more information. You can also ask for info on health conditions and wellness topics in print. For Providers show For Providers menu. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Or choose Go on to move forward to the provider website. 11/15/21. Theyve always been able to count on you. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Join Ambetter show Join Ambetter menu 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. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Join Ambetter show Join Ambetter menu Aetnaprovides infoabout COVID-19on the next page. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. All rights reserved. It has info for health care providers. Discover all the ways you can manage your coverage. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of 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. Together, we're on a mission for better health insurance and healthier lives. What is Ambetter? If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Ambetter from Arizona Complete Health can help. 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, Date: Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. You will need Adobe Reader to open PDFs on this site. Youre dedicated to your patients, so were dedicated to you. Your area isn't covered? Theyve always been able to count on you. Or choose Go on to move forwardtoYour Texas Benefits. 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. That way, you can focus on your patients. The fee displayed is the allowable rate for this service. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. Your Ambetter online member account puts you in control of your health plan. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Simply call Superior Member Services. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Always on the go? 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? 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. Your Texas Benefitsprovidesthe info on the next page. Provider Reminders: Claims Definitions. Submit and manage claims, including batch files, for free. You're dedicated to your patients, so we're dedicated to you. All rights reserved. Questions? Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Learn More. Get coaching on funnew ways to improve yourhealth. Use your ZIP Code to find your personal plan. 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. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. You will need Adobe Reader to open PDFs on this site. If you dont want to leave our site, choose the X in the upper right corner to close this message. All Rights Reserved. Join Ambetter show Join Ambetter menu Newsroom. Login Welcome to the Login page. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. You can access your plan information and pay your premium. What is Ambetter? https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. You will need Adobe Reader to open PDFs on this site. Get personalized help managing diabetes, asthma and other chronic conditions. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. 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. Please select Member in the dropdown menu to log in to or create your secure online member account. Youre dedicated to your patients, so were dedicated to you. You cansign uponlineorcontact us. You can do a lot inside your Member Portal. Another group or vendor provides the info on the next page. Infographic Description. Youre dedicated to your patients, so were dedicated to you. 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). 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. Setting up your online member account is easier than ever it only takes a few minutes. 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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