Find everything you need in the member online account. Review clinical and payment policy information. Join Ambetter show Join Ambetter menu Copyright 2023 Celtic Insurance Company. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Ambetter Health Insurance Plans | Ambetter Or choose Go on to move forward. As part of the nations No. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Find and enroll in a plan that's right for you. 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. Or choose Go on tomove forward to Aetna.com. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. https://provider.sunshinestatehealth.com/. Use your ZIP Code to find your personal plan. Youre dedicated to your patients, so were dedicated to you. What is Ambetter? Ready to learn more? Please select Member in the dropdown menu to log in to or create your secure online member account. Your area isn't covered? Manage patient administrative tasks quickly and easily. Interested in becoming an Ambetter provider? Or choose Go on to move forwardtoYour Texas Benefits. Your Ambetter online member account puts you in control of your health plan. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. You can call 1-855-231-3716to ask for a printed copy of the health survey. Find and enroll in a plan that's right for you. Questions? Pay now to activate the health benefits you deserve. Please select your state. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Ambetter from Sunshine Health Login | Manage Your Account Online Texas Provider Resources | Superior HealthPlan Find health tips, financial advice and more to build a healthier life. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. 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. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. At the end of the day, our job is to make yours easier. Join Ambetter show Join Ambetter menu Find and enroll in a plan that's right for you. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. You will need Adobe Reader to open PDFs on this site. 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). I understand that my information will be used in accordance with my plan notice of privacy practices. show Join Ambetter from AZ Complete Health menu. Manage Batch Claims for Free. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Yes. Use your ZIP Code to find your personal plan. All Rights Reserved. Theyve always been able to count on you. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. 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. 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. Youre dedicated to your patients, so were dedicated to you. You will need Adobe Reader to open PDFs on this site. The fee displayed is the allowable rate for this service. Or choose Go on to move forward to the main Aetna Medicaid website. Contact Us for more information. That way, you can focus on your patients. All Rights Reserved. What is Ambetter from Arizona Complete Health? Provider Toolkit Secure Provider Portal - Ambetter from Meridian Loading Provider News & Information | Texas Medicaid | Superior HealthPlan 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. Just download the app from the AppleApp Store or the Google Playstore. Your Texas Benefitsprovidesthe info on the next page. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. You will need Adobe Reader to open PDFs on this site. To find out more information, pleaseselect your state below. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. If you dont want to leave our site, choose the X in the upper right corner to close this message. What is Ambetter? You're dedicated to your patients, so we're dedicated to you. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. For Providers show For Providers menu. 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/. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Infographic Description. Find and enroll in a plan that's right for you. Please select Member in the dropdown menu to log in to or create your secure online member account. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Print or download it to your smart phone so you always have it with you. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. 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. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. 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. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. **Restrictions apply. Always on the go? Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. All rights reserved. Find everything you need in the member online account, Date: Use your ZIP Code to find your personal plan. Ambetter from Superior HealthPlan Available in 145 Texas Counties View our Preferred Drug List to see what drugs are covered. 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. You can also ask for info on health conditions and wellness topics in print. Make your first payment to access great benefits. 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. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. 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.
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