What you need to know about the Coronavirus. Or access MyActiveHealthwith your smartphone. 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. All Rights Reserved. What you need to know about the Coronavirus. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 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 the tabs or the previous and next buttons to change the displayed slide. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. 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. Use your ZIP Code to find your personal plan. Date: You're dedicated to your patients, so we're dedicated to you. A flu shot protects you and those you love. 11/15/21. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. No problem. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Or choose Go on to move forward. Your Ambetter coverage includes no-cost in-network Telehealth services. 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. Take care of you and your baby with our maternity health programs. You have many convenient ways to make your payment. 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. Non-discrimination notice and language assistance. 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. 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. *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. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Manage patient administrative tasks quickly and easily. 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. Theyve always been able to count on you. You can call 1-855-231-3716to ask for a printed copy of the health survey. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Copyright 2023 Centene Corporation. View our Preferred Drug List to see what drugs are covered. At the end of the day, our job is to make yours easier. There, you can view your digital ID, download it to your smartphone, or print a copy. That way, you can focus on your patients. Contact Ambetter from Meridian at 1-833-993-2426 They've always been able to count on you. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. And you can access Telehealth on your computer or smart phone anywhere and anytime. Register your account today! All rights reserved. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Just download the app from the AppleApp Store or the Google Playstore. Copyright 2023 Centene Corporation. You can get answers to medical questions and care advice even prescriptions. 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's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Register your account today! Make your first payment to access great benefits. Another group or vendor provides the info on the next page. 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. Submit and manage claims, including batch files, for free. Connect your fitness devices and track yourprogress. 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. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! At the end of the day, our job is to make yours easier. Use our helpful resources to deliver the best quality of care. Your Ambetter online member account puts you in control of your health plan. 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. Your area isn't covered? At the end of the day, our job is to make yours easier. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. And, as a partner with Ambetter, youll be able to count on us. What is Ambetter? Join Ambetter show Join Ambetter menu Please select Member in the dropdown menu to log in to or create your secure online member account. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Plus, its no cost for members. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Visit Provider.ambettermeridian.com and click Create an Account. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Contact Us for more information. Manage Batch Claims for Free. That way, you can focus on your patients. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. 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. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one 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. Were here foryouMonday through Friday, 8 AM to 5 PM. Use your ZIP Code to find your personal plan. **Restrictions apply. Use your ZIP Code to find your personal plan. Quality Improvement resources have moved. 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 visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. 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. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Find everything you need in the member online account. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. You will need Adobe Reader to open PDFs on this site. Use your ZIP Code to find your personal plan. Use your ZIP Code to find your personal plan. Download the free version of Adobe Reader. Find and enroll in a plan that's right for you. Copyright 2022 Aetna Better Health of Texas. Get medical help from doctors via video and phone. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Or choose Go on tomove forward to Aetna.com. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Theyve always been able to count on you. Find everything you need in the member online account. You can access your plan information and pay your premium. Please select your state. Get coaching on funnew ways to improve yourhealth. Youre going to the provider website. Interested in becoming an Ambetter provider? We would love to hear from you! 08/07/20. Learn More. Always on the go? 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. Your Ambetter online member account puts you in control of your health plan. 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. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). What is Ambetter? The fee displayed is the allowable rate for this service. 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. Print or download it to your smart phone so you always have it with you. Protected, Convenient Access at Your Fingertips. Theyve always been able to count on you. Get personalized help managing diabetes, asthma and other chronic conditions. Use your ZIP Code to find your personal plan. And, as a partner with Ambetter, you'll be able to count on us. You will need Adobe Reader to open PDFs on this site. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Together, we're on a mission for better health insurance and healthier lives. You will need Adobe Reader to open PDFs on this site. Use your ZIP Code to find your personal plan. Discover all the ways you can manage your coverage. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. You will need Adobe Reader to open PDFs on this site. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. That way, you can focus on your patients. You can do so much more with your health plan when you create an account in your Member Portal. If you dont want to leave our site, choose the X in the upper right corner to close this message. Youre dedicated to your patients, so were dedicated to you. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. All rights reserved. View patient demographics & history. Billing Resources Electronic Visit Verification (EVV) National Imaging Associates (NIA)resources have moved. Log in today to find the care option thats right for you. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Questions? Ambetter. Discover all the ways you can manage your coverage. Yes. 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 At the end of the day, our job is to make yours easier. https://provider.sunshinestatehealth.com/. Login Welcome to the Login page. All rights reserved. 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. Setting up your online member account is easier than ever it only takes a few minutes. Stay up to date with the latest news and announcements. You're dedicated to your patients, so we're dedicated to you. Use your ZIP Code to find your personal plan. 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. Your area isn't covered? Ready to learn more? Find health tips, financial advice and more to build a healthier life. *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. Copyright 2023 Celtic Insurance Company. Your Ambetter online member account puts you in control of your health plan. Access Daily Patient Lists from One Screen. Or choose Go on to move forward to the provider website. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. You can also ask for info on health conditions and wellness topics in print. That way, you can focus on your patients. You will need Adobe Reader to open PDFs on this site. Check out health resources, send us questions and more. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Ambetter Health has your back every step of the way on your personal health and wellness journey. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. To find out more information, pleaseselect your state below. Join Ambetter show Join Ambetter menu Ambetter from Arizona Complete Health can help. Copyright 2023 Celtic Insurance Company. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. See what vision and dental coverage is available 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. Contact Us for more information. Check Now Provider Resources Youre dedicated to your patients, so were dedicated to you. 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. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Visit Provider.ambettermeridian.com and click Create an Account. 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. Your area isn't covered? Find and enroll in a plan that's right for you. 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.
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