One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. 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. Or choose Go on to move forward. Protected, Convenient Access at Your Fingertips. Use your ZIP Code to find your personal plan. Or use your Aetna Better Healthapp to take your benefits on the go. Together, we're on a mission for better health insurance and healthier lives. Give us a call if you have any questions as you shop and explore . Find and enroll in a plan that's right for you. Youre dedicated to your patients, so were dedicated to you. What is Ambetter from Arizona Complete Health? Interested in becoming an Ambetter provider? Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Access your secure provider information any time. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Stay up to date with the latest news and announcements. 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. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. Be sure to have your member ID and email addresshandy. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for you. As part of the nations No. All rights reserved. Contact Us for more information. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. I understand that my information will be used in accordance with my plan notice of privacy practices. A flu shot protects you and those you love. Use your ZIP Code to find your personal plan. show Join Ambetter from AZ Complete Health menu. Just visit your MemberPortal. Setting up your online member account is easier than ever it only takes a few minutes. Find and enroll in a plan that's right for you. Discover all the ways you can manage your coverage. Your area isn't covered? 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. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. We're dedicated to helping your practice run as . Check Now Provider Resources Join Ambetter show Join Ambetter menu Quality Improvement resources have moved. You can access your plan information and pay your premium. Or choose Go on tomove forward to Aetna.com. 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. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Connect your fitness devices and track yourprogress. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Copyright 2023 Centene Corporation. Discover all the ways you can manage your coverage. It has info for health care providers. The app lets you access all the benefits of your Member Portal anytime, anywhere. 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. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. 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. 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. 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. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Simply call Superior Member Services. For Providers show For Providers menu. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Use the tabs or the previous and next buttons to change the displayed slide. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Secure messaging between provider & Ambetter from Magnolia Health. At the end of the day, our job is to make yours easier. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. All rights reserved. Copyright 2022 Aetna Better Health of Texas. Update provider demographics. The Ambetter from Peach State Health Plan login portal is where you manage your account. 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. Just log in. Please select Member in the dropdown menu to log in to or create your secure online member account. Find everything you need in the member online account. Have your tax ID number ready during sign up. Theyve always been able to count on you. Or choose Go on to move forward to the provider website. Register your account today! What is Ambetter? All rights reserved. Make your first payment to access great benefits. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Infographic Description. Always on the go? Ready to learn more? 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. Theyve always been able to count on you. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. 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. We would love to hear from you! You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Your area isn't covered? With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Because protecting peoples health is why were here, and its what well always do. Just download the app from the AppleApp Store or the Google Playstore. Contact Us for more information. Download the free version of Adobe Reader. Find and enroll in a plan that's right for you. Youre dedicated to your patients, so were dedicated to you. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Find health tips, financial advice and more to build a healthier life. Simply call Superior Member Services. Another group or vendor provides the info on the next page. Find everything you need in the member online account. And as a partner with Ambetter, youll be able to count on us. Access Daily Patient Lists from One Screen. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. What is Ambetter? All Rights Reserved. 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.. All rights reserved. There, you can view your digital ID, download it to your smartphone, or print a copy. You can do a lot inside your Member Portal. All rights reserved. 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. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. View detailed Electronic Funds Transfer (EFT) payment history. You will need Adobe Reader to open PDFs on this site. Get personalized help managing diabetes, asthma and other chronic conditions. Earn rewards for taking charge of your health. All rights reserved. You will need Adobe Reader to open PDFs on this site. Youre dedicated to your patients, so were dedicated to you. Find everything you need in the member online account. Download the free version of Adobe Reader. Use your ZIP Code to find your personal plan. You will need Adobe Reader to open PDFs on this site. 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 have many convenient ways to make your payment. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. See what vision and dental coverage is available for you. Register your account today! Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Plus, its no cost for members. 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. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Login Log in Forgot your password? Join Ambetter show Join Ambetter menu With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. To find out more information, pleaseselect your state below. Use your ZIP Code to find your personal plan. Visit https://member.ambetterhealth.com for more details. *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. Your Ambetter online member account puts you in control of your health plan. Log in today to find the care option thats right for you. 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. 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. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Healthcare designed for you. Date: If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Use our helpful resources to deliver the best quality of care. You will need Adobe Reader to open PDFs on this site. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Or choose Go on to move forwardtoYour Texas Benefits. What you need to know about the Coronavirus. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Your online member account is a powerful tool that puts you in control of your health coverage. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. At the end of the day, our job is to make yours easier. That way, you can focus on your patients. Ambetter from Arizona Complete Health can help. You will need Adobe Reader to open PDFs on this site. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. 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. Use your ZIP Code to find your personal plan. You can also ask for info on health conditions and wellness topics in print. Ambetter offers a variety of plans for all budgets and needs. Login to Your Account Access your secure provider information any time. Make your first payment to access great benefits. Use your ZIP Code to find your personal plan. 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. 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. You can call 1-855-231-3716to ask for a printed copy of the health survey. Find your health info and healthnumbers. Submit and manage claims, including batch files, for free. Learn More. Access Daily Patient Lists from One Screen. Theyve always been able to count on you. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Ambetter Health has your back every step of the way on your personal health and wellness journey. Use your ZIP Code to find your personal plan. 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. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. If you dont want to leave our site, choose the X in the upper right corner to close this message. What is Ambetter? Copyright 2023 Arizona Complete Health. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. No problem. 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. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Find everything you need in the member online account. Copyright 2023 Celtic Insurance Company. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . 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. Aetnaprovides infoabout COVID-19on the next page. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. 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/. Have your tax ID number ready during sign up. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Use our tool to see if a pre-authorization is needed. Copyright 2023 Centene Corporation. You cansign uponlineorcontact us. 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 dont want to leave our site, choose the X in the upper right corner to close this message. What is Ambetter? 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. The fee displayed is the allowable rate for this service. Join Ambetter show Join Ambetter menu 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 select Member in the dropdown menu to log in to or create your secure online member account. 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, Date: Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. 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. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. **Restrictions apply. 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. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico You can do so much more with your health plan when you create an account in your Member Portal. Use your ZIP Code to find your personal plan. All Rights Reserved. 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. They've always been able to count on 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. 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. Join Ambetter show Join Ambetter menu That way, you can focus on your patients. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Contact Ambetter from Meridian at 1-833-993-2426. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. You're dedicated to your patients, so we're dedicated to you. Use your ZIP Code to find your personal plan. And, as a partner with Ambetter, you'll be able to count on us. You're dedicated to your patients, so we're dedicated to you. Copyright 2023 Celtic Insurance Company. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card.