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 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. You can do so much more with your health plan when you create an account in your Member Portal. You will need Adobe Reader to open PDFs on this site. Copyright 2023 Centene Corporation. Ambetter. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Or access MyActiveHealthwith your smartphone. 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). One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Update provider demographics. There, you can view your digital ID, download it to your smartphone, or print a copy. You will need Adobe Reader to open PDFs on this site. If you dont want to leave our site, choose the X in the upper right corner to close this message. 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. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. 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. Billing Resources Electronic Visit Verification (EVV) Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Your area isn't covered? For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. You will need Adobe Reader to open PDFs on this site. Find everything you need in the member online account. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Superior HealthPlan News. As part of the nations No. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Make your first payment to access great benefits. Aetnaprovides infoabout COVID-19on the next page. Check Now Provider Resources All rights reserved. Members must qualify for and complete all activities to receive $500 or more. Your Ambetter online member account puts you in control of your health plan. You can also ask for info on health conditions and wellness topics in print. Register your account today! You're dedicated to your patients, so we're dedicated to you. 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. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Provider Reminders: Claims Definitions. Find health tips, financial advice and more to build a healthier life. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. And you can access Telehealth on your computer or smart phone anywhere and anytime. What is Ambetter? Use the tabs or the previous and next buttons to change the displayed slide. 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. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Please select Member in the dropdown menu to log in to or create your secure online member account. You will need Adobe Reader to open PDFs on this site. You can get answers to medical questions and care advice even prescriptions. Or choose Go on to move forwardtoYour Texas Benefits. National Imaging Associates (NIA)resources have moved. Join Ambetter show Join Ambetter menu Your Ambetter coverage includes no-cost in-network Telehealth services. To find out more information, pleaseselect your state below. You can do a lot inside your Member Portal. 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. Aetna Better Health provides the general info on the next page. Youre dedicated to your patients, so were dedicated to you. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Setting up your online member account is easier than ever it only takes a few minutes. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Always on the go? Use your ZIP Code to find your personal plan. At the end of the day, our job is to make yours easier. 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. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Ambetter does not provide medical care. Use your ZIP Code to find your personal plan. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. You're dedicated to your patients, so we're dedicated to you. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. 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. Find and enroll in a plan that's right for you. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Use your ZIP Code to find your personal plan. Login to Your Account Access your secure provider information any time. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Youre dedicated to your patients, so were dedicated to you. Print or download it to your smart phone so you always have it with you. Review clinical and payment policy information. They've always been able to count on you. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. The Ambetter from Peach State Health Plan login portal is where you manage your account. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. At the end of the day, our job is to make yours easier. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. 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. Simply call Superior Member Services. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Newsroom. Discover all the ways you can manage your coverage. Download the free version of Adobe Reader. Register your account today! Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. 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 download the app from the AppleApp Store or the Google Playstore. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Log in to: Digital ID: Get your digital ID card anytime on your 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. View patient demographics & history. Don't miss out on your affordable health plan! Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. You can call 1-855-231-3716to ask for a printed copy of the health survey. Use your ZIP Code to find your personal plan. 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. 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. 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. You will need Adobe Reader to open PDFs on this site. Ambetter offers a variety of plans for all budgets and needs. Be sure to have your member ID and email addresshandy. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Find and enroll in a plan that's right for you. Join Ambetter show Join Ambetter menu Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Visit https://member.ambetterhealth.com for more details. 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. Have your tax ID number ready during sign up. A flu shot protects you and those you love. All rights reserved. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Contact Us for more information. Stay up to date with the latest news and announcements. Simply call Superior Member Services. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Healthcare designed for you. Contact Us for more information. All rights reserved. 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. That way, you can focus on your patients. Visit Provider.ambettermeridian.com and click Create an 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. Use your ZIP Code to find your personal plan. 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/. For Providers show For Providers menu. Theyve always been able to count on you. Access your secure provider information any time. Protected, Convenient Access at Your Fingertips. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Youre going to the provider website. 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 is Ambetter? Just log in. You will need Adobe Reader to open PDFs on this site. 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. 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.. Take care of you and your baby with our maternity health programs. Please select your state. 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, Date: Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. 11/15/21. show Join Ambetter from AZ Complete Health menu. Youre dedicated to your patients, so were dedicated to you. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. It has info for health care providers. Visit Provider.ambettermeridian.com and click Create an Account. Download the free version of Adobe Reader. Join Ambetter show Join Ambetter menu What you need to know about the Coronavirus. Together, we're on a mission for better health insurance and healthier lives. Your area isn't covered? Healthcare is essential. Log in today to find the care option thats right for you. Find and enroll in a plan that's right for you. Ambetter Health has your back every step of the way on your personal health and wellness journey. You will need Adobe Reader to open PDFs on this site. Please select Member in the dropdown menu to log in to or create your secure online member account. Quality Improvement resources have moved. All Rights Reserved. Non-discrimination notice and language assistance. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 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. Login Welcome to the Login page. Join Ambetter show Join Ambetter menu Use our tool to see if a pre-authorization is needed. 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.