Don't miss out on your affordable health plan! No problem. Youre dedicated to your patients, so were dedicated to you. You will need Adobe Reader to open PDFs on this site. Your Ambetter online member account puts you in control of your health plan. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. 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. Aetna Better Health provides the general info on the next page. Just log in. Infographic Description. Your Ambetter online member account puts you in control of your health plan. And, as a partner with Ambetter, you'll be able to count on us. Check out health resources, send us questions and more. Ambetter does not provide medical care. Find everything you need in the member online account. You can access your plan information and pay your premium. What is Ambetter? Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Or choose Go on to move forwardtoYour Texas Benefits. Or choose Go on to move forward to the main Aetna Medicaid website. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Youre going to the provider website. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. 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. You have many convenient ways to make your payment. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Contact Ambetter from Meridian at 1-833-993-2426 08/07/20. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Because protecting peoples health is why were here, and its what well always do. Ambetter from Arizona Complete Health can help. National Imaging Associates (NIA)resources have moved. Register your account today! Always on the go? Yes. You will need Adobe Reader to open PDFs on this site. 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. Find and enroll in a plan that's right for you. Get medical help from doctors via video and phone. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. 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. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. 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. Or choose Go on tomove forward to Aetna.com. Find everything you need in the member online account. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. It has info for health care providers. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Visit Provider.ambettermeridian.com and click Create an Account. Use your ZIP Code to find your personal plan. Use your ZIP Code to find your personal plan. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Aetnaprovides infoabout COVID-19on the next page. All rights reserved. What you need to know about the Coronavirus. Have your tax ID number ready during sign up. Contact Us for more information. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. As part of the nations No. Interested in becoming an Ambetter provider? Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. You can access a digital copy of your Member ID anytime by logging in to your online member account. What is Ambetter? Login Welcome to the Login page. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Print or download it to your smart phone so you always have it with you. All Rights Reserved. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Ambetter Health has your back every step of the way on your personal health and wellness journey. Non-discrimination notice and language assistance. If you dont want to leave our site, choose the X in the upper right corner to close this message. Find and enroll in a plan that's right for you. That way, you can focus on your patients. Visit https://member.ambetterhealth.com for more details. 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. Questions? Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. You can do a lot inside your Member Portal. The fee displayed is the allowable rate for this service. Please select your state. Find and enroll in a plan that's right for you. That way, you can focus on your patients. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. And you can access Telehealth on your computer or smart phone anywhere and anytime. View our Preferred Drug List to see what drugs are covered. Copyright 2023 Arizona Complete Health. All rights reserved. Give us a call if you have any questions as you shop and explore . Please select Member in the dropdown menu to log in to or create your secure online member account. Use the tabs or the previous and next buttons to change the displayed slide. 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. Log in today to find the care option thats right for you. Newsroom. *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. Another group or vendor provides the info on the next page. Setting up your online member account is easier than ever it only takes a few minutes. At the end of the day, our job is to make yours easier. What you need to know about the Coronavirus. Join Ambetter show Join Ambetter menu You will need Adobe Reader to open PDFs on this site.