Ambetter offers a variety of plans for all budgets and needs. You can get answers to medical questions and care advice even prescriptions. All rights reserved. And, as a partner with Ambetter, youll be able to count on us. What is Ambetter? Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. For Providers show For Providers menu. Update provider demographics. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Provider Reminders: Claims Definitions. Simply call Superior Member Services. You can do so much more with your health plan when you create an account in your Member Portal. Billing Resources Electronic Visit Verification (EVV) Join Ambetter show Join Ambetter menu Aetnaprovides infoabout COVID-19on the next page. 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 Ambetter from Meridian at 1-833-993-2426 Just download the app from the AppleApp Store or the Google Playstore. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Make your first payment to access great benefits. You will need Adobe Reader to open PDFs on this site. 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. Or choose Go on to move forward. All rights reserved. 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. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Download the free version of Adobe Reader. Find and enroll in a plan that's right for you. 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. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. We would love to hear from you! Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Always on the go? Youre going to the provider website. 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. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Questions? *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. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Your Ambetter coverage includes no-cost in-network Telehealth services. Use your ZIP Code to find your personal plan. You can call 1-855-231-3716to ask for a printed copy of the health survey. If you dont want to leave our site, choose the X in the upper right corner to close this message. *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. Your Ambetter online member account puts you in control of your health plan. Get coaching on funnew ways to improve yourhealth. Your online member account is a powerful tool that puts you in control of your health coverage. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Aetna Better Health provides the general info on the next page. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. If you dont want to leave our site, choose the X in the upper right corner to close this message. 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 Texas Benefitsprovidesthe info on the next page. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. If you dont want to leave the member site, choose the X in the upper right corner to close this message. 08/07/20. Use your ZIP Code to find your personal plan. If you dont want to leave our site, choose the X in the upper right corner to close this message. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Healthcare designed for you. Download the free version of Adobe Reader. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. There, you can view your digital ID, download it to your smartphone, or print a copy. Join Ambetter show Join Ambetter menu Use your ZIP Code to find your personal plan. What you need to know about the Coronavirus. Just log in to manage your plan benefits and health goals from anywhere. All rights reserved. Your area isn't covered? What is Ambetter? Use your ZIP Code to find your personal plan. At the end of the day, our job is to make yours easier. Connect your fitness devices and track yourprogress. Find and enroll in a plan that's right for you. That way, you can focus on your patients. 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. Have your tax ID number ready during sign up. The fee displayed is the allowable rate for this service. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Copyright 2023 Celtic Insurance Company. Please select Member in the dropdown menu to log in to or create your secure online member account. Use our helpful resources to deliver the best quality of care. 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. 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. 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. 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. Log in to: Digital ID: Get your digital ID card anytime on your online member account. You will need Adobe Reader to open PDFs on this site. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Were here foryouMonday through Friday, 8 AM to 5 PM. You can access a digital copy of your Member ID anytime by logging in to your online member account. Copyright 2022 Aetna Better Health of Texas. Use your ZIP Code to find your personal plan. 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. You will need Adobe Reader to open PDFs on this site. You can also ask for info on health conditions and wellness topics in print. Join Ambetter show Join Ambetter menu Copyright 2023 Arizona Complete Health. Access Daily Patient Lists from One Screen. Take care of you and your baby with our maternity health programs. It has info for health care providers. What is Ambetter? Just log in. Or use your Aetna Better Healthapp to take your benefits on the go. Log in today to find the care option thats right for you. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Contact Us for more information. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. 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. Visit Provider.ambettermeridian.com and click Create an Account. Get medical help from doctors via video and phone. The Ambetter from Peach State Health Plan login portal is where you manage your account. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Check Now Provider Resources Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. 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 your ZIP Code to find your personal plan. Find everything you need in the member online account. Simply call Superior Member Services. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge.
