We’re dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Thank you for your interest in Ambetter Healthcare Plans. NOTICE: Currently we are experiencing some issues and long wait times with on our Teledoc and Referral lines. Our members’ health is important to us, now and always. What you need to know about the Coronavirus. With a variety of affordable coverage options, we make it easier to stay healthy and in charge. Ambetter from Arkansas Health & Wellness - Arkansas: Initial Claims: 180 Days from the DOS (Participating Providers). Copays, coinsurance, and deductibles waived for all telemedicine services. That way, you can focus on your patients. View or print the final Rule #98. Ambetter/Qualchoice. Use our tool to see if a pre-authorization is needed. However, we are continuing to grow and expand our coverage, so … That’s why you can count on us to cover COVID-19 testing and treatment. View our Preferred Drug List to see what drugs are covered. Find the Ambetter plan that works best for you. Use your ZIP Code to find your personal plan. Arkansas Health & Wellness' plan is called Ambetter. Please be patient with us as we work through this busy period. Starting January 1, 2020, the Ambetter fee schedule name will change from Payor Medicare Fee Schedule to Payor Fee Schedule . Monday through Friday 8 a.m. – 6 p.m. CST. Buy health insurance today. … You'll have peace of mind for all your healthcare needs with Secure Care. After Hours . Ambetter from Arkansas Health & Wellness is underwritten by Arkansas Health & Wellness Insurance Company. How much you will pay will depend on your specific plan. Our members’ health is important to us, now and always. Contact us for more information. *Medicaid ID #: Today’s Date MMDDYYYY: Your First Name: Your Last Name: *Your Birth Date MMDDYYYY: Mailing Address: City: State: Zip Code: Home Phone: Cell Phone: Would you like to receive text messages about pregnancy and newborn care? 90 Days from the DOS (Non Participating providers). © Copyright 2020 Arkansas Health & Wellness. Essential Care plans cover your essential healthcare needs. Ambetter offers Marketplace insurance plans with different coverage and premium levels. The insurance is offered through qualified health plans from Arkansas BlueCross BlueShield, Arkansas Health & Wellness (Ambetter), and Qualchoice. Ambetter of Arkansas features roughly 160 employees. Ambetter is a health insurance company owned by Centene Corporation, a multi-national company that provides programs and services to under-insured and uninsured individuals. Please confirm you entered your ZIP Code properly. Use your ZIP Code to find your personal plan. Text STOP to unsubscribe. You will need Adobe Reader to open PDFs on this site. We provide top-quality health insurance to fit your needs and budget. Please be patient with us as we work through this busy period. Expect higher monthly premium payments to help limit your out-of-pocket costs later. Understand Arkansas Medicaid’s organization and services. Our 20 state health plans are here for you. Enroll Now. Learn More. Our nurses are available to help with urgent issues after hours & holidays. Each state works differently through Ambetter to provide health insurance marketplace plans, including Medicaid and Children’s Health Insurance Programs (CHIP). Note: Professional and ancillary services related to a procedure that requires pre-authorization are considered downstream and will not require a separate authorization. Depending on family size and income, a person may even qualify for … Stay up to date with the latest news and announcements. Get the latest alerts and news from Arkansas Health and Wellness. No. Ambetter of Arkansas offers plans on the Health Insurance Marketplace. Our Program Prior Authorization Process and Overview Clinical Information Required Subsequent Requests Peer to Peer Review Notification of Determination Claims Provider Tools and Contact Information RadMD Demo Questions and Answers NIA Physical Medicine Program Agenda 2. While your office may not currently see Buckeye patients from one or multiple products, you are able to see them if you are fully contracted with state and federal Medicaid, MyCare, Medicare or Exchange products. Ambetter is a health insurance company owned by the Centene Corporation, which is a multi-national healthcare company that provides programs and services to under-insured and uninsured individuals. Provider and Member Services . Get Insured. And if you’ve lost access to insurance, we want to help you get the coverage you need. You choose the payment method (debit or credit card or withdraw from your bank account). E/M Visits covered using telemedicine including telephone only. Review clinical and payment policy information. NOTICE: Currently we are experiencing some issues and long wait times with on our Teledoc and Referral lines. Medicare Advantage. Welcome to Arkansas Medicaid! Medicaid; Medical Mutual; Molina Healthcare; Optima Health; UnitedHealthCare; WellPoint; Close; Guides. Ambetter vs. Cigna: What You Need to Know. You can set up recurring or automatic payments on the same day each month. About Our Plans. Our website collected and compiled various consumer reviews about Ambetter and Blue Cross And Blue Shield Association as well as customer ratings and recommendations for … That way you’ll always pay on time. Services related to an authorization denial will result in denial of all associated claims. Then choose a date between the 15th and last day of the month to pay your bill. © Copyright 2020 Arkansas Health & Wellness. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! Now, Ambetter has more than 2 million members nationwide. You are covered, sending you to Enrollment. Arkansas Health Insurance Plans | Ambetter from Arkansas Health & Wellness . And if you’ve lost access to insurance, we want to help you get the coverage you need. Coronavirus (COVID-19) What you need to know about the Coronavirus. PissedConsumer.com strives to provide consumers with the right information to make informed purchasing decisions. There are several levels to Ambetter health insurance plans, each one representing a different type of coverage and monthly payment. Access your secure provider information any time. Arkansas Works Medicaid Arkansas Works is a Medicaid program that offers eligible Arkansans health insurance coverage. Its products are available on the Health Insurance Marketplace alongside other private companies. The Health Insurance Marketplace is an online shopping mall of healthcare plans. This means that those who have been subject to the work requirement are no longer required to report work or other activities to keep their health coverage. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. Auto pay saves you time and is worry-free. Ambetter offers affordable health care coverage for individuals and families. Ambetter can help. Ambetter offers Marketplace insurance plans with different coverage and premium levels. Ambetter from Arkansas Health & Wellness provides quality healthcare solutions that help residents of Arkansas live better. Find the affordable plan that's right for you. Learn More. All the health plans offered on the Health Insurance Marketplace include certain items or services, or Essential Health Benefits (EHBs). Use appropriate CPT code with a POS 02. Arkansas Payment Improvement Initiative (866) 322-4696 in-state toll-free or (501) 301-8311 local and out-of-state Magellan Medicaid Administration Pharmacy Help Desk (800) 424-7895, Option 2 for Prescribers Carrier Codes. Typically, you'd see lower monthly premiums, but potentially higher out-of-pocket costs if you end up needing a lot of care. Ambetter offers customers affordable health care plans in 14 states including Arkansas, Arizona, Georgia, Florida, Indiana, and Nevada, among others. Secure Web Portal . Find everything you need in the member online account. Company. Ambetter is not a Medicaid plan. Ambetter from Superior HealthPlan (Marketplace) appreciates your partnership as we achieve our shared goal of delivering quality, accessible and affordable healthcare to our members. Its local presence centers in Little Rock.Ambetter operates under Arkansas Health and Wellness. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Ambetter of Arkansas 1-877-617-0390 1-877-617-0392 AmbetterofArkansas.com Ambetter from Sunshine Health 1-877-687-1169 Relay FL – 1-800-955-8770 Ambetter.SunshineHealth.com Ambetter from Peach State Health Plan 1-877-687-1180 1-877-941-9231 Ambetter.pshpgeorgia.com Ambetter from MHS 1-877-687-1182 1-877-941-9232 Ambetter.mhsindiana.com Ambetter from CeltiCare … Find the Ambetter plan that works best for you. Find and enroll in a plan that's right for you. Some Arkansas Works enrollees must pay a monthly payment for their insurance, known as a premium. Yes. Ambetter is a health insurance company owned by Centene Corporation, a multi-national company that provides programs and services to under-insured and uninsured individuals. Use our helpful resources to deliver the best quality of care. The insurance is offered through qualified health plans from three companies: Arkansas BlueCross BlueShield. You’re dedicated to your patients, so we’re dedicated to you. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! Better Health for Your Local Community. Watch to find the plan that’s right for you. … Arkansas Medicaid has released the Final Rule for State Plan #2019-0009, TRANSP-1-19, and SecV-2-19 all provider manuals update. Arkansas Works is a Medicaid program that offers eligible Arkansans private health insurance coverage. A plan that provides coverage that is right for you. NOTICE: On March 27th, a federal judge has ruled to block the work requirement in Arkansas. You will need Adobe Reader to open PDFs on this site. Arkansas Health & Wellness (Ambetter) Qualchoice Who can get Arkansas Works insurance through the Medicaid program? If you do not have an unlimited texting plan, message and data rates may apply. The information above represents the way typical plans at each level work. Ambetter offers affordable health insurance plans through the Health Insurance Marketplace. When you choose Ambetter, you're covered on these essential medical care and wellness services:   See how choosing a health insurance plan that has balanced out-of-pocket costs and monthly premium payments, like an Ambetter Silver Plan, can help you save. Once the deductible has been met, you would begin 20% coinsurance with the insurer. Balanced Care plans provide the best value and most balance between your monthly premium payments and out-of-pocket costs, especially if you're eligible for financial assistance. on Medicaid, Medicare, MyCare and the Health Insurance Exchange. (PDF, new window) Return to list. Ambetter is the suite of health insurance product offerings for the Health Insurance Marketplace. Ambetter from Absolute Total Care Member and Provider Services Phone Number: 833-270-5443: Ambetter from Arizona Complete Health - Arizona: 68069: 1870 W. Rio Salado Parkway Tempe, AZ 85281: Ambetter Arizona Provider Services Phone Number: 866-796-0542: Ambetter from Arkansas Health & Wellness - Arkansas: 68069: PO Box 25538, Little Rock, AR 72221 A new Medicare Advantage plan by Arkansas Health & Wellness. Resources For Arkansas Healthcare Providers | Ambetter from Arkansas Health & Wellness . They’ve always been able to count on you. Arkansas Works Program | Ambetter from Arkansas Health & Wellness Arkansas Works. To receive the fastest response on referrals, please submit authorization requests through our provider portal or via fax at: 1-866-884-9580. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. All rights reserved. Arkansas Health Connector/Arkansas Private option is the health insurance marketplace, previously known as health insurance exchange, in the U.S. state of Arkansas, created in accordance with the Patient Protection and Affordable Care Act.The marketplace operates a web site and a toll-free resource center. Phone: 1-877-687-1196 or Relay Texas (TDD/TTY) 1-800-735-2989 . Reconsideration or Claim Disputes/Appeals: 180 Calender Days from the date of EOP or denial is issued (Participating provider). BRONZE. Provider Information Information for those who provide health care services to Arkansas Medicaid beneficiaries. Ambetter from Arkansas Health & Wellness is underwritten by Arkansas Health & Wellness Insurance Company. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Ambetter only offers one Gold plan: the Ambetter Secure Care 3. Select your state to see the Ambetter plans available in your area. Ambetter from Arkansas Health & Wellness Fax: 1-866-884-9580 Allwell from Arkansas Health & Wellness Fax: 1-866-279-1358, Behavioral Health Fax: 1-866-279-1358. New Official Notices. Ambetter from Arkansas Health & Wellness Physical Medicine Program Provider Training Presented by: Leta Genasci. Learn more about our affordable healthcare plans and compare each plan's monthly premium payment and out-of-pocket expenses. What makes Ambetter different? View Summary of Benefits, Evidence of Coverage. Please note, texting is not secure and … Get more information on the health coverage we provide and what you … We believe health insurance companies can best deliver quality care on a local level. At the end of the day, our job is to make yours easier. Find everything you need in the member online account. Interested in becoming an Ambetter provider? Centene is the largest Medicaid managed care organization in the country and the number one insurer on the Health Insurance Marketplace. And, as a partner with Ambetter, you’ll be able to count on us. Scholarship Essay Contest; Close; List Of Drug Rehab Centers That Accept Ambetter Insurance. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. At this time we do not offer plans in your area. Company. Unfortunately, we do not offer Marketplace plans in your ZIP Code. That’s why you can count on us to cover COVID-19 testing and treatment. Added 11/3/20 Arkansas Medicaid released an official notice to all providers regarding 4 th Quarter 2020 Healthcare Common Procedure Coding System Level II (HCPCS) Code, … All rights reserved. Learn more about our affordable healthcare plans and compare each plan's monthly premium payment and out-of-pocket expenses. Enroll Now. Phone: 1-877-687-1196 or Relay Texas (TDD/TTY) 1-800-735-2989 . If you are looking for another kind of insurance plan, like a short-term health insurance, Medicare, or Centene is the largest Medicaid managed care organization in the country and the … What you need to know about the Coronavirus. With Ambetter, you can choose a plan that fits your needs and your budget. Ambetter can help. We have the years of experience plus local knowledge to help you and your family take charge of your health. Then, as with other Ambetter health insurance plans, once you reach the out-of-pocket maximum, all medical services are covered by the insurer. Ambetter offers convenient, online bill payment options. Our solutions help a diverse community access affordable health … United. Addiction Hotlines ; Drug Test Detection Times; Fitness And Nutrition Guide; FMLA For Rehab; Racial Disparities And Addiction Treatment; Thomas Recipe; Drug Rehab Centers F.A.Q. For Providers. Learn more about Ambetter Find and enroll in a plan that's right for you. Learn more! 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