Find your health info and healthnumbers. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Your Ambetter coverage includes no-cost in-network Telehealth services. Plus, its no cost for members. At the end of the day, our job is to make yours easier. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Access Daily Patient Lists from One Screen. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Just visit your MemberPortal. Aetna Better Health provides the general info on the next page. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Review clinical and payment policy information. Find and enroll in a plan that's right for you. Contact Ambetter from Meridian at 1-833-993-2426. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. Make your first payment to access great benefits. 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're dedicated to your patients, so we're dedicated to you. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Use your ZIP Code to find your personal plan. You can get answers to medical questions and care advice even prescriptions. Or use your Aetna Better Healthapp to take your benefits on the go. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Or choose Go on tomove forward to Aetna.com. There, you can view your digital ID, download it to your smartphone, or print a copy. Find health tips, financial advice and more to build a healthier life. You can access your plan information and pay your premium. You will need Adobe Reader to open PDFs on this site. 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. Youre going to the provider website. What you need to know about the Coronavirus. Learn More. Copyright 2023 Celtic Insurance Company. Be sure to have your member ID and email addresshandy. Use your ZIP Code to find your personal plan. Your Ambetter online member account puts you in control of your health plan. Your area isn't covered? Effective 1/1: Electronic Prescribing of Controlled Substances Required. Ready to learn more? Login Welcome to the Login page. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Find and enroll in a plan that's right for you. 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. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Use our tool to see if a pre-authorization is needed. You will need Adobe Reader to open PDFs on this site. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Connect your fitness devices and track yourprogress. 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. And, as a partner with Ambetter, youll be able to count on us. You can call 1-855-231-3716to ask for a printed copy of the health survey. Members must qualify for and complete all activities to receive $500 or more. 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 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. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Join Ambetter show Join Ambetter menu Login to Your Account Access your secure provider information any time. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. And you can access Telehealth on your computer or smart phone anywhere and anytime. Ambetter Washington Login | Manage Your Plan Online Please select Member in the dropdown menu to log in to or create your secure online member account. Make your first payment to access great benefits. 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. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Have your tax ID number ready during sign up. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Just download the app from the AppleApp Store or the Google Playstore. Download the free version of Adobe Reader. 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. Join Ambetter show Join Ambetter menu Please select Member in the dropdown menu to log in to or create your secure online member account. 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. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. 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. *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. Use your ZIP Code to find your personal plan. Please select Member in the dropdown menu to log in to or create your secure online member account. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. 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. Pay now to activate the health benefits you deserve. Another group or vendor provides the info on the next page. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Ambetter. Login Log in Forgot your password? For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. What is Ambetter? Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 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. 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. Print or download it to your smart phone so you always have it with you. Your Texas Benefitsprovidesthe info on the next page. 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. Just log in to manage your plan benefits and health goals from anywhere. I understand that my information will be used in accordance with my plan notice of privacy practices. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. View our Preferred Drug List to see what drugs are covered. Log in today to find the care option thats right for you. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Update provider demographics. Find everything you need in the member online account, Date: Log in to: Digital ID: Get your digital ID card anytime on your online member account. What is Ambetter? Register your account today! 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. Find and enroll in a plan that's right for you. 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. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Use your ZIP Code to find your personal plan. Join Ambetter show Join Ambetter menu Submit and manage claims, including batch files, for free. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. You will need Adobe Reader to open PDFs on this site. At the end of the day, our job is to make yours easier. Your Ambetter online member account puts you in control of your health plan. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Earn rewards for taking charge of your health. Contact Us for more information. That way, you can focus on your patients. Download the free version of Adobe Reader. 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. 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 you need to know about the Coronavirus. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. 11/15/21. Access your secure provider information any time. *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. Use our helpful resources to deliver the best quality of care. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Discover all the ways you can manage your coverage. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 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. Visit Provider.ambettermeridian.com and click Create an Account. Theyve always been able to count on you. . Your online member account is a powerful tool that puts you in control of your health coverage. Simply call Superior Member Services. All Rights Reserved. Healthcare is essential. You will need Adobe Reader to open PDFs on this site. All rights reserved. Ambetter from Arizona Complete Health can help. 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. 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. All rights reserved. Register your account today! Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Manage patient administrative tasks quickly and easily. Always on the go? Join Ambetter show Join Ambetter menu Contact Us for more information. 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. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 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. It has info for health care providers. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Get medical help from doctors via video and phone. Quality Improvement resources have moved. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Or choose Go on to move forward to the main Aetna Medicaid website. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Youre dedicated to your patients, so were dedicated to you. Use your ZIP Code to find your personal plan. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. No problem. That way, you can focus on your patients. Visibility of Multiple TINs. 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! 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. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Find everything you need in the member online account. 08/07/20. 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. You can access a digital copy of your Member ID anytime by logging in to your online member account. Secure messaging between provider & Ambetter from Magnolia Health. Find and enroll in a plan that's right for you. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Find everything you need in the member online account. 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. Use the tabs or the previous and next buttons to change the displayed slide. Date: That way, you can focus on your patients. You can also ask for info on health conditions and wellness topics in print. A flu shot protects you and those you love.