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. Don't miss out on your affordable health plan! Submit and manage claims, including batch files, for free. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Connect your fitness devices and track yourprogress. Billing Resources Electronic Visit Verification (EVV) 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/. Healthcare designed for you. Or choose Go on to move forward. *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. Ready to learn more? Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. 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. Ambetter does not provide medical care. View detailed Electronic Funds Transfer (EFT) payment history. 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. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. At the end of the day, our job is to make yours easier. Use your ZIP Code to find your personal plan. Please select your state. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Find and enroll in a plan that's right for you. Visit Provider.ambettermeridian.com and click Create an Account. Youre dedicated to your patients, so were dedicated to you. See what vision and dental coverage is available for you. Just log in. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for you. All Rights Reserved. Date: Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. What is Ambetter? Register your account today! Login Log in Forgot your password? Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Just visit your MemberPortal. 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. You will need Adobe Reader to open PDFs on this site. 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. Your area isn't covered? To find out more information, pleaseselect your state below. 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. Learn More. Copyright 2023 Centene Corporation. You can also ask for info on health conditions and wellness topics in print. 08/07/20. Download the free version of Adobe Reader. Superior HealthPlan News. Use your ZIP Code to find your personal plan. The Ambetter from Peach State Health Plan login portal is where you manage your account. Youre dedicated to your patients, so were dedicated to you. Non-discrimination notice and language assistance. A flu shot protects you and those you love. You will need Adobe Reader to open PDFs on this site. Copyright 2022 Aetna Better Health of Texas. Or use your Aetna Better Healthapp to take your benefits on the go. Yes. Give us a call if you have any questions as you shop and explore . All rights reserved. Have your tax ID number ready during sign up. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. 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. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Ambetter offers a variety of plans for all budgets and needs. 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. 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. Get personalized help managing diabetes, asthma and other chronic conditions. Contact Us for more information. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Visit https://member.ambetterhealth.com for more details. 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. 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. Have your tax ID number ready during sign up. 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. What you need to know about the Coronavirus. Or choose Go on to move forwardtoYour Texas Benefits. Theyve always been able to count on you. Find and enroll in a plan that's right for you. That way, you can focus on your patients. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Youre going to the provider website. Manage patient administrative tasks quickly and easily. Print or download it to your smart phone so you always have it with you. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Join Ambetter show Join Ambetter menu Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. Make your first payment to access great benefits. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Theyve always been able to count on you. 11/15/21. Stay up to date with the latest news and announcements. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. View our Preferred Drug List to see what drugs are covered. Simply call Superior Member Services. Use your ZIP Code to find your personal plan. Find and enroll in a plan that's right for you. What is Ambetter from Arizona Complete Health? Find everything you need in the member online account, Date: Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. 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. Aetna Better Health provides the general info on the next page. All rights reserved. Effective 1/1: Electronic Prescribing of Controlled Substances Required. 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). Copyright 2023 Celtic Insurance Company. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Access your secure provider information any time. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. If you dont want to leave our site, choose the X in the upper right corner to close this message. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. 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. No problem. Join Ambetter show Join Ambetter menu 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. Aetnaprovides infoabout COVID-19on the next page. Copyright 2023 Centene Corporation. Just download the app from the AppleApp Store or the Google Playstore. As part of the nations No. Another group or vendor provides the info on the next page. I understand that my information will be used in accordance with my plan notice of privacy practices. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. You can access your plan information and pay your premium. Members must qualify for and complete all activities to receive $500 or more. You can call 1-855-231-3716to ask for a printed copy of the health survey. 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. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Newsroom. 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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