AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Visibility of Multiple TINs. Find everything you need in the member online account, Date: Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Date: You can access your plan information and pay your premium. 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. Download the free version of Adobe Reader. At the end of the day, our job is to make yours easier. And, as a partner with Ambetter, youll be able to count on us. Connect your fitness devices and track yourprogress. What is Ambetter? Use your ZIP Code to find your personal plan. Discover all the ways you can manage your coverage. There, you can view your digital ID, download it to your smartphone, or print a copy. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Use your ZIP Code to find your personal plan. *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. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. You can access a digital copy of your Member ID anytime by logging in to your online member account. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. 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. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 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/. Healthcare designed for you. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Register your account today! 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. Contact Ambetter from Meridian at 1-833-993-2426. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Print or download it to your smart phone so you always have it with you. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 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. Or choose Go on to move forwardtoYour Texas Benefits. You will need Adobe Reader to open PDFs on this site. 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 AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Use your ZIP Code to find your personal plan. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. If you dont want to leave the member site, choose the X in the upper right corner to close this message. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Your area isn't covered? Update provider demographics. 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. Use your ZIP Code to find your personal 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. Take care of you and your baby with our maternity health programs. View detailed Electronic Funds Transfer (EFT) payment history. Your Ambetter online member account puts you in control of your health plan. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. 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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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. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Youre dedicated to your patients, so were dedicated to you. 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. At the end of the day, our job is to make yours easier. **Restrictions apply. 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. What is Ambetter? Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. 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. Always on the go? Check out health resources, send us questions and more. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. This includes Ambetter Value, a new specialized plan aligned witha select group of primary care providers, which can help guide and steer a members utilization through a referral process. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Download the free version of Adobe Reader. Find and enroll in a plan that's right for you. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Aetnaprovides infoabout COVID-19on the next page. And as a partner with Ambetter, youll be able to count on us. You can also ask for info on health conditions and wellness topics in print. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. All rights reserved. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Use your ZIP Code to find your personal plan. Learn More. Review clinical and payment policy information. 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. Login Welcome to the Login page. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Yes. Simply call Superior Member Services. Pay now to activate the health benefits you deserve. Your Ambetter coverage includes no-cost in-network Telehealth services. 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. Copyright 2023 Arizona Complete Health. Youre dedicated to your patients, so were dedicated to you. You will need Adobe Reader to open PDFs on this site. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Visit Provider.ambettermeridian.com and click Create an Account. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Visit https://member.ambetterhealth.com for more details. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Theyve always been able to count on you. Use your ZIP Code to find your personal plan. You will need Adobe Reader to open PDFs on this site. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. All rights reserved. Loading Ambetter. Copyright 2022 Aetna Better Health of Texas. 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. Simply call Superior Member Services. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Be sure to have your member ID and email addresshandy. 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. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Ready to learn more? You can get answers to medical questions and care advice even prescriptions. https://provider.sunshinestatehealth.com/. Access Daily Patient Lists from One Screen. 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. What you need to know about the Coronavirus. Aetna Better Health provides the general info on the next page. 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. Don't miss out on your affordable health 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. Access Daily Patient Lists from One Screen. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Copyright 2023 Celtic Insurance Company. If you dont want to leave our site, choose the X in the upper right corner to close this message. 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. Ambetter Health has your back every step of the way on your personal health and wellness journey. All rights reserved. show Join Ambetter from AZ Complete Health menu. Protected, Convenient Access at Your Fingertips. 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. 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. Find and enroll in a plan that's right for you. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. 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. Please visitSuperior's QI Program. Just log in. Theyve always been able to count on you. Interested in becoming an Ambetter provider? What you need to know about the Coronavirus. Find everything you need in the member online account. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Copyright 2023 Centene Corporation. Or access MyActiveHealthwith your smartphone. View our Preferred Drug List to see what drugs are covered. We would love to hear from you! 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.. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Give us a call if you have any questions as you shop and explore . That way, you can focus on your patients. 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. Use your ZIP Code to find your personal plan. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Find and enroll in a plan that's right for you. Use your ZIP Code to find your personal plan. Access your secure provider information any time. Discover all the ways you can manage your coverage. Please select Member in the dropdown menu to log in to or create your secure online member account. Please select your state. 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. . Just log in. 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. All Rights Reserved. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. As part of the nations No. 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. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. I understand that my information will be used in accordance with my plan notice of privacy practices. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. You will need Adobe Reader to open PDFs on this site. Your online member account is a powerful tool that puts you in control of your health coverage. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Find health tips, financial advice and more to build a healthier life. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. For Providers show For Providers menu. 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.

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