Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Together, we're on a mission for better health insurance and healthier lives. If you dont want to leave our site, choose the X in the upper right corner to close this message. Use your ZIP Code to find your personal plan. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Find and enroll in a plan that's right for you. Join Ambetter show Join Ambetter menu Or choose Go on to move forwardtoYour Texas Benefits. Ambetter Health has your back every step of the way on your personal health and wellness journey. Learn More. That way, you can focus on your patients. Your area isn't covered? Copyright 2023 Celtic Insurance Company. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Copyright 2023 Centene Corporation. You will need Adobe Reader to open PDFs on this site. Provider Reminders: Claims Definitions. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Discover all the ways you can manage your coverage. 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. 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. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Or choose Go on to move forward to the provider website. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. And, as a partner with Ambetter, youll be able to count on us. Connect your fitness devices and track yourprogress. Get medical help from doctors via video and phone. Get personalized help managing diabetes, asthma and other chronic conditions. Log in today to find the care option thats right for you. Interested in becoming an Ambetter provider? At the end of the day, our job is to make yours easier. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. I understand that my information will be used in accordance with my plan notice of privacy practices. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Just download the app from the AppleApp Store or the Google Playstore. 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. 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. All Rights Reserved. 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. 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. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. There, you can view your digital ID, download it to your smartphone, or print a copy. Members must qualify for and complete all activities to receive $500 or more. 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. 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. Access Daily Patient Lists from One Screen. You can get answers to medical questions and care advice even prescriptions. Contact Ambetter from Meridian at 1-833-993-2426. 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/. 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. Simply call Superior Member Services. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. 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. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Login Welcome to the Login page. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Use our helpful resources to deliver the best quality of care. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Review clinical and payment policy information. Find everything you need in the member online account. And as a partner with Ambetter, youll be able to count on us. 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. You're dedicated to your patients, so we're dedicated to you. A flu shot protects you and those you love. 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. Visit https://member.ambetterhealth.com for more details. All rights reserved. Use the tabs or the previous and next buttons to change the displayed slide. You will need Adobe Reader to open PDFs on this site. Find and enroll in a plan that's right for you. Be sure to have your member ID and email addresshandy. Update provider demographics. Have your tax ID number ready during sign up. *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. What is Ambetter from Arizona Complete Health? Ambetter does not provide medical care. What you need to know about the Coronavirus. Visit Provider.ambettermeridian.com and click Create an Account. Copyright 2023 Centene Corporation. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. You're dedicated to your patients, so we're dedicated to you. Find and enroll in a plan that's right for you. Earn rewards for taking charge of your health. Your Ambetter online member account puts you in control of your health plan. Effective 1/1: Electronic Prescribing of Controlled Substances Required. That way, you can focus on your patients. Superior HealthPlan News. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. You will need Adobe Reader to open PDFs on this site. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Join Ambetter show Join Ambetter menu Copyright 2023 Celtic Insurance Company. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. Copyright 2023 Celtic Insurance Company. You have many convenient ways to make your payment. You will need Adobe Reader to open PDFs on this site. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . To find out more information, pleaseselect your state below. Please select your state. Yes. You can do a lot inside your Member Portal. Please visitSuperior's QI Program. Copyright 2023 Centene Corporation. Make your first payment to access great benefits. Secure messaging between provider & Ambetter from Magnolia Health. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Visit Provider.ambettermeridian.com and click Create an Account. Your Texas Benefitsprovidesthe info on the next page. The Ambetter from Peach State Health Plan login portal is where you manage your 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. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. Billing Resources Electronic Visit Verification (EVV) The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Use your ZIP Code to find your personal plan. Register your account today! The fee displayed is the allowable rate for this service. Non-discrimination notice and language assistance. Always on the go? Make your first payment to access great benefits. Please select Member in the dropdown menu to log in to or create your secure online member account. 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.. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. 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. Use your ZIP Code to find your personal plan. Stay up to date with the latest news and announcements. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. 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. 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. Infographic Description. **Restrictions apply. 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. Simply call Superior Member Services. Download the free version of Adobe Reader. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Use your ZIP Code to find your personal plan. All rights reserved. What you need to know about the Coronavirus. 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. Youre dedicated to your patients, so were dedicated to you. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Visibility of Multiple TINs. Contact Ambetter from Meridian at 1-833-993-2426 Setting up your online member account is easier than ever it only takes a few minutes. Youre going to the provider website. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources What is Ambetter? Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. 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. Theyve always been able to count on you. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for you. Ambetter from Arizona Complete Health can help. 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). show Join Ambetter from AZ Complete Health menu. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. 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. Or choose Go on tomove forward to Aetna.com. Ready to learn more? Print or download it to your smart phone so you always have it with you. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Protected, Convenient Access at Your Fingertips. Healthcare designed for you. 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. Your Ambetter online member account puts you in control of your health plan. You will need Adobe Reader to open PDFs on this site. 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. Find everything you need in the member online account, Date: Access Daily Patient Lists from One Screen. View patient demographics & history. Find everything you need in the member online account. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. And, as a partner with Ambetter, youll be able to count on us. What is Ambetter? https://provider.sunshinestatehealth.com/. Use your ZIP Code to find your personal plan. You cansign uponlineorcontact us. Just log in. As part of the nations No. At the end of the day, our job is to make yours easier. Use your ZIP Code to find your personal plan. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. All rights reserved. Login Log in Forgot your password? That way, you can focus on your patients. View our Preferred Drug List to see what drugs are covered. Because protecting peoples health is why were here, and its what well always do. Or use your Aetna Better Healthapp to take your benefits on the go. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Loading 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. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. All rights reserved. We would love to hear from you! Aetnaprovides infoabout COVID-19on the next page. Or choose Go on to move forward. Use your ZIP Code to find your personal plan. The app lets you access all the benefits of your Member Portal anytime, anywhere. 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. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. At the end of the day, our job is to make yours easier. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Your online member account is a powerful tool that puts you in control of your health coverage. You can access a digital copy of your Member ID anytime by logging in to your online member account. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Join Ambetter show Join Ambetter menu At the end of the day, our job is to make yours easier. Newsroom. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Or access MyActiveHealthwith your smartphone. See what vision and dental coverage is available for you. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. *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. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Access your secure provider information any time. Date: You can access your plan information and pay your premium. View detailed Electronic Funds Transfer (EFT) payment history. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Your area isn't covered? 11/15/21. 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. No problem. 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. 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. All rights reserved. Check Now Provider Resources And, as a partner with Ambetter, you'll be able to count on us. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. 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. Pay now to activate the health benefits you deserve. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Your Ambetter coverage includes no-cost in-network Telehealth services. Get coaching on funnew ways to improve yourhealth. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. That way, you can focus on your patients. Use your ZIP Code to find your personal plan. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Find everything you need in the member online account. You will need Adobe Reader to open PDFs on this site. Take care of you and your baby with our maternity health programs. Your Ambetter online member account puts you in control of your health plan. Have your tax ID number ready during sign up. 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 Download the free version of Adobe Reader. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Copyright 2022 Aetna Better Health of Texas. 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. For Providers show For Providers menu. Manage patient administrative tasks quickly and easily. Aetna Better Health provides the general info on the next page. Youre dedicated to your patients, so were dedicated to you. Another group or vendor provides the info on the next page. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Or choose Go on to move forward to the main Aetna Medicaid website. Just log in to manage your plan benefits and health goals from anywhere. Were here foryouMonday through Friday, 8 AM to 5 PM. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. It has info for health care providers. . 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. Discover all the ways you can manage your coverage. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. They've always been able to count on you. Quality Improvement resources have moved. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. 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. Give us a call if you have any questions as you shop and explore . 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. If you dont want to leave our site, choose the X in the upper right corner to close this message. And you can access Telehealth on your computer or smart phone anywhere and anytime. If you dont want to leave our site, choose the X in the upper right corner to close this message. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! You can also ask for info on health conditions and wellness topics in print. Use our tool to see if a pre-authorization is needed. Your area isn't covered? There, you can find information about your Ambetter coverage, access options for care and much more all in one place. We're dedicated to helping your practice run as . You can do so much more with your health plan when you create an account in your Member Portal. 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. National Imaging Associates (NIA)resources have moved. Join Ambetter show Join Ambetter menu Contact Us for more information. What is Ambetter? What is Ambetter? You can call 1-855-231-3716to ask for a printed copy of the health survey. Find health tips, financial advice and more to build a healthier life. 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. All rights reserved. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Register your account today! Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. 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. You will need Adobe Reader to open PDFs on this site. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. What is Ambetter? Contact Us for more information. 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. If you dont want to leave the member site, choose the X in the upper right corner to close this message. Discover all the ways you can manage your coverage. 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. All Rights Reserved. 08/07/20. Use your ZIP Code to find your personal plan. Just log in. Manage Batch Claims for Free. 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. Healthcare is essential. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. All rights reserved. Theyve always been able to count on you. Youre dedicated to your patients, so were dedicated to you. Contact Us for more information. Join Ambetter show Join Ambetter menu Plus, its no cost for members. 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.
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