You can live chatwith a representative or send a secure messageonce you log in. Not familiar with this process? Your Care Plan is a tool for Apple Health (Medicaid), Apple Health (Medicaid) and Behavioral Health Services Only (BHSO) Case Management members to help you: A referral and/or preapproval may be needed for certain services. Learn more about our Medicaid health plans and how to enroll by choosing your state below. Find the phone number of an Ombuds in your area. We put tools and technologies in your hands to make it easier to access care and services. Amerigroup (AMG) 1-800-600-4441: Community Health Plan of Washington (CHPW) . So here are some tools to help you keep track. Find a Specialist: See any acupuncture, massage, and chiropractic licensed provider in Washington. Apple Health (Medicaid): 1-800-454-3730 Medicare: 1-866-805-4589 The Ombuds is independent from Amerigroup Washington. There are no copays or coinsurance for services included in your plan. Read it to learn about: Did you know most doctor appointments only last 15 minutes? They can help if you have a behavioral health grievance, appeal or fair hearing. Labs (to get blood tests) Long-term services and supports. Get translation and interpretation services free of charge. Contact Member Services. How do I notify PEBB that my loved one has passed away? The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. If you are interested, please let us know. Medicare: 1-866-805-4589. You can also call TennCare: 1-800-600-4441 (TRS 711) CHOICES and ECF CHOICES: 1-866-840-4991 (TRS 711) to request materials in another language or format including audio, braille, or large print. These benefits are paid by the state (using your ProviderOne card). The handbook is your go-to guide for all the benefits included in your plan. DentistLink has an up-to-date Apple Health dental provider list. They can help if you have a behavioral health grievance, appeal or fair hearing. Medically Intensive Childrens Program (MICP), Care from a primary care provider (PCP) you choose, Preventive care, like checkups and screenings, Disease management for asthma, diabetes and other conditions, Eyeglasses for members ages 21-64 (one pair, up to $100 per year), A smartphone with monthly minutes, data and unlimited text messages, Acupuncture treatments (three sessions per year from a doctor in our plan), GED testing for members ages 17 and older, Boys & Girls Club membership for kids ages 6-18 (at participating clubs), Healthy Families program support and nutrition and exercise coaching for families with children ages 7-17, myStrength web and mobile tools to help improve your mental and emotional health, My Wellness Guide tools that help you take control of your health by setting goals, creating action plans and tracking progress, First aid and dental hygiene kits when you fill out a personal disaster plan online. It also enables Amerigroup to be more effective, efficient, and inclusive as a health plan. You can search by provider name, city and state or specialty. There are no copays for your pharmacy benefits. Click to start your search. Search. Copyright 2022 Washington Health Care Authority. Member Services: 1-800-600-4441 (TTY 711). Learn more about becoming a provider and keeping your information updated. Urgent care centers. 100%. In Washington State, Medicaid is called Apple Health. This app is for Medicaid members in Georgia, Iowa, Maryland, New Jersey, Tennessee, Texas, Washington, and Washington D.C. With the Amerigroup mobile app, you can: Log in easily and securely with Touch ID/Face ID Find a doctor We provide all your Apple Health benefits, like care from a primary care provider (PCP) you choose, prescriptions and much more all at no cost to you. Your primary care provider or health plan . Average Overall User Rating for Dermatologists who take AmeriGroup: 4 (out of 5) Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Call Member Services at 800-600-4441 (TTY 711) if you have questions or need any help. Log into ProviderOne. Taking Care of Baby and Me reward program lets you earn rewards just for getting prenatal and postpartum checkups on time: Circumcision for your newborn (up to $150). To find a plan PCP plan near you, use our Apple Health (Medicaid): 1-800-454-3730 Find a Doctortool. Apple Health offers managed care plans in all regions statewide. You can also call 1-800-600-4441 (TTY 711) to request materials in another language or format including audio, braille, or large print. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. You can search by name, specialty or location. To learn more, talk to your doctor. Your dental benefits are paid by the state (using your ProviderOne card). You can also send us a secure message through your account. To learn more, visit our referrals and preapprovals page. Find the phone number of an Ombuds in your area. AmeriGroup Dermatologists listed on Doctor.com have been practicing for an average of: 29.6 year (s) Average ProfilePoints score for Dermatologists who take AmeriGroup: 47/80. Please contact your provider representative for assistance. Y0114_20_122379_U CMS Accepted 05/08/2020 You are leaving Anthem.com Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. To get the most of your time, its good to be prepared. We know health care can be confusing. You also can call us at 206-695-7081, ext. Available in Cowlitz, Grays Harbor,Jefferson, Kitsap, Lewis, Mason, Pacific, Thurston, Wahkiakum counties. Just send an email to healthpromotions@amerigroup.com and mention "HEADC" in your message. But we know being healthy is about more than just doctor visits, so the benefits and services we offer are designed to make a difference in your life. . See if you are eligible. To learn about these benefits, see the member handbook. For information about a providers medical school and residency, call Member Services at 1-877-644-4613 (TDD/TTY 1-866-862-9380). Become an Amerigroup provider: Navigate to https://www.availity.com. Health (4 days ago) Visit Dentist Link or call 1-844-888-5465. Surgical services may be offered by any provider who accepts . Enroll Renew. To be removed, you must submit a request through the Provider File Maintenance process in ProviderOne. Visit docinfo.org to search for providers and find out where they went to medical school., OptumRx provides TennCare pharmacy benefits, DentaQuest provides TennCare dental benefits for children under age 21 only, EyeQuest provides TennCare vision benefits for children under age 21 only, Amerigroup Member Services: 1-800-600-4441 (TTY 711). Apple Health (Medicaid): 1-800-454-3730 Medicare: 1-866-805-4589 Hospitals. Employee ID applies to a very small percentage of our membership. You can get rides to and from non-emergency medical appointments. If youre not happy with him or her, you can switch anytime unless youre in the Patient Review and Coordination program. Need help with something? Call now: 855-953-6479 (TTY: 711) Speak to a licensed sales agent. If you are receiving Apple Health coverage through a managed care plan (i.e. Find detailed listings for mental health professionals in: We work directly with providers to give them access to tools and supports to engage with members and enhance their behavioral health capabilities. To change your PCP, log in to your secure account or call Member Services at 1-800-600-4441 (TTY 711). Looking for a form but don't see it here? Amerigroup STAR+PLUS MMP (Medicare- Medicaid Plan) 5959 Corporate Dr. Suite 1300 Houston, TX 77036 Member Services 1-855-878-1784 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m. local time. For adults - eyeglass frames and lenses are not covered by Apple Health, but if you wish to buy them, you can Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. We offer interactive provider scorecards with data on key service and quality metrics, and use value-based payment strategies to promote the delivery of high quality care that improves member outcomes. Outside the United States. Kaiser Foundation Health Plan of the NorthWest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon. Chat with a live person or send us a secure message. If a provider is no longer accepting Apple Healthbut has not updated their informationthey may appear in the directory. If you contact a provider who is not accepting Apple Health, please ask them to remove their name from the list. Your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan. Employment and Community First CHOICES Provider Directory East, Employment and Community First CHOICES Provider Directory West, Employment and Community First CHOICES Provider Directory Middle, Medication-Assisted Treatment (MAT) Providers, Get Help in Another Language and Nondiscrimination Policy - English, Get Help in Another Language and Nondiscrimination Policy - Spanish. Get these benefits, plus more. You will need your member ID number to register . We look forward to working with you to provide quality service for our members. Membership to one of four national disability advocacy organizations: American Association of People with Disabilities (AAPD), National Council on Independent Living (NCIL), $10 for getting a prenatal visit in your first trimester or within 42 days, $40 for getting at least six prenatal visits, $25 for getting a postpartum visit 21-56 days after delivery, Medela in Style advanced personal double breast pump, Ameda Purely Yours double electric personal pump, Internal medicine doctor (mostly for adults), Family, marriage and/or parenting problems, A plan Community Mental Health Center or substance use disorder agency, Another behavioral health or substance use disorder provider in your plan, Glasses, contact lenses and fittings (these benefits are paid by the state using your ProviderOne card), Glasses one pair per year for members ages 21-64 (up to a $100 value), Stay connected with your care coordinator, Get your care coordinators phone number and email address, Send secure messages about diagnoses, goals, medicines, services and more, Check due dates and statuses of goals and objectives, Log in or register if you dont have an account, The benefits you get through the state (using your ProviderOne card), How to file complaints, appeals and administrative hearings. Amerigroup provider Apple Health (Medicaid) manuals and Quick Reference Cards provide key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies. Employee ID. Health WebLet's find a health care provider that meets your needs! Call or text the DentistLink specialists team to find the right dentist for you: 844-888-5465. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Fill out this form and bring it with you to your appointment. You may proceed at your own risk. We've gathered resources and tools to help you work as efficiently and productively as possible and do what you do best - care for our members. georgia .gov or contact HP Provider > Call Center at 1-800-766-4456. View or print your member ID card. We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. Apple Health. Call now: 855-953-6479 (TTY: 711) Speak to a Amerigroup.com Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Washington Apple Health is an umbrella term or brand name for all Washington State medical assistance programs, including Medicaid. Amerigroup (AMG) 1-800-600-4441: Community Health Plan of Washington (CHPW) 1-800-440-1561: Coordinated Care of Washington (CCW) 1-877-644-4613: Important! The dates below are used for Medicare compliance and do not apply to provider data updates. Find Healthcare Providers Amerigroup. Update your contact info. There's no more critical person on this team than you, the provider. Website feedback: Tell us how were doing, Copyright 2022 Washington Health Care Authority, I help others apply for & access Apple Health, Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. Medical policy addresses the medical necessity of new services or procedures and new applications of existing services or procedures. Log in to Availity ; . Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), Find out what Apple Health (Medicaid) is currently working on, Find out how the Apple Health (Medicaid) program works, Mental health assessment for young children, Apple Health (Medicaid) and managed care reports, Contact Washington Apple Health (Medicaid), Provide high-quality health care through innovative health policies and purchasing strategies. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact . Your PCPs name is listed on your ID card. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. Here you will find information for assessing coverage options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering . WebThe Apple Health Single Preferred Drug List (PDL) is a list of all brand-name and generic drugs available on the plan. We apologize for this inconvenience. Visit one of Kaiser Permanente NW's online provider directories for Classic, CDHP, and Senior Advantage. . The acquisition is effective May 1, 2012. An Ombuds is a person who can provide free and confidential help related to your behavioral health services. If you need help finding a provider, or would like a hard copy of the Provider Directory mailed to you, please contact Customer Service by calling 1-800-440-1561 (TTY Relay: 711) Monday through Friday from 8 a.m. to 5 p.m. Clinical UM guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services. A library of the forms most frequently used by health care professionals. The system has detected you are viewing this site using a mobile device. The brand name may be shortened to "Apple Health.". order them through participating optical providers at discounted prices. We have a diverse network of exceptional health care professionals that ensure our members have uninterrupted access to the health care they need. This is a directory of providers who have registered as accepting new Apple Health clients. Use our online search and contact tools, or text or call DentistLink at 844-888-5465, and a referral specialist will assist you in finding an Apple Health provider who will meet your oral health care needs. Being healthy is about more than just doctor visits.The benefits and services you receive are designed to make a difference in your life. Behavioral health providers. If your employer requires you to use your employee ID number to register, enter that number exactly as provided by your employer. You can search for many different providers, like: Primary care providers (PCP) Specialists. *Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Washington, Inc. Medical Policies and Clinical UM Guidelines, Healthcare Effectiveness Data and Information Set (HEDIS), Washington Foundational Community Supports, Early and Periodic Screening, Diagnostic and Treatment, Apple Health (Medicaid) Quick Reference Card, Medicare Provider Dispute, Grievance and Appeal FAQ, Provider Experience Quick Reference Guide, Provider Orientation Feedback and Knowledge Assessment Survey, HCA Provider Billing Guides and Fee Schedules, Integrated Managed Care SERI, National Provider ID (NPI) & Taxonomies, February 2022 Clinical Utilization Management (UM) Guidelines, November 2021 Clinical Utilization Management (UM) Guidelines, August 2021 Clinical Utilization Management (UM) Guidelines, May 2021 Clinical Utilization Management (UM) Guidelines, February 2021 Clinical Utilization Management (UM) Guidelines, November 2020 Clinical Utilization Management (UM) Guidelines, August 2020 Clinical Utilization Management (UM) Guidelines, BH Screening Assessment and Treatment last updated 10/1/15, Developmental screening, assessment and referral last updated 8/21/17, Sample Medicare Advantage Member ID Cards. Always show both your Amerigroup ID card and your ProviderOne card when you get these services. After logging in, select Payer Spaces. Through provider file maintenance you can: Verify and update physical, mailing and pay-to addresses. Amerigroup is a health insurance plan that serves people who receive Medicaid. During the application process, you will be able to choose a health plan. The brand name may be shortened to Apple Health.. , You can get more information about the providers in our health plan. The Amerigroup app helps you make healthy happen, wherever you go. The Ombuds is independent from Amerigroup Washington. Get the app We work with IngenioRx to provide your pharmacy benefits. We offer a wide range of prescriptions and many over-the-counter medicines (with an order from your doctor). You can search for a dentist through our Find a Dentist directory, . . Kaiser Permanente NW. Let's find a health care provider that meets your needs! Medicaid and Medicare Insurance Amerigroup. Use the search tool on Amerigroup.com to find Medicare, Medicaid and Medicare-Medicaid providers. Enrollment is open - find the Medicare plan you need, at a price you like. Coronavirus: Stay up to date on vaccine information for COVID-19. Use our search tool below to find a plan provider close to home. With access to your secure account, you can: Change your primary care provider. There are some treatments and services that need preapproval before you can get them. Contact Us | Amerigroup. 2021Amerigroup Corporation Therefore, it will also be necessary for you to submit a credentialing application to the CVO prior to your acceptance in to our Provider Network. *Eye exams can be more frequent if medically needed. Available statewide. To update your provider information, login to ProviderOne and select provider file maintenance. Provider tools & resources. How do I notify SEBB that my loved one has passed away? Being healthy is about more than just doctor visits. Request a call back from Member Services. Did you know you can search for a doctor from your phone with the Amerigroup mobile app? As a health care professional, in-home caregiver, mental health professional, or one of dozens of other qualifying professions, you may be eligible to be an Apple Health (Medicaid) provider. . Amerigroup Washington, Inc. is committed to supporting you in providing quality care and services to the members in our network. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. If you are a provider active in ProviderOne, you will appear in this directory. As long as the provider is in our plan, you may choose any of the following to be your PCP: If you need behavioral health or substance use disorder care, you can get it from: You dont need a referral from your PCP to see a behavioral health specialist in your plan. Browse our extensive directory of the best Amerigroup Therapists, Amerigroup Psychologists and Amerigroup Counselors near you. The road to good health starts with having quality doctors and health benefits to turn to when youre sick. . These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve. HCA Find-a-Provider - Washington. Medicaid is the federally matched medical aid program under Title XIX of the Social Security Act (andTitle XXI of the Social Security Act for the Childrens Health Insurance Plan) that covers the Categorically Needy (CN) and Medically Needy (MN) programs. Need help with something? Apple Health (Medicaid) You will receive all your free or low-cost Apple Health (Medicaid) benefits for physical and behavioral health (mental health and substance use disorder treatment services). Members receive the care and services needed to become and stay healthy. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost. Here to Help You. free highland cow crochet pattern; age of war 2 hacked without flash . . Am I eligible for Apple Health (Medicaid)? Seven days a week, 8 a.m. to 8 p.m. Go mobile! Providing care for those who need it most requires a team effort. The Health . Here you will find information for assessing coverage options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering benefits to our members. Health Care Authority covers most surgical services. Amerigroup Washington, Inc. Am I eligible for Apple Health (Medicaid)? You can also learn about the quality of hospitals near you by using Hospital Compare. To find a behavioral health provider, call 1-800-888-1965 (TTY 866-835-2755) Monday through Friday Category: Health Go Health HealthChoice Benefits Amerigroup Maryland Medicaid Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. This call is free. Sign up for Electronic Funds Transfers (EFT) so payments go directly to your bank account. Join us in talking about racism and its impact on health. Get these benefits, plus more. Amerigroup covers hormone therapy and behavioral (mental) health services at no cost. Your Apple Health benefits include things like: To learn more about Apple Health benefits, see our member handbook. We cannot guarantee compatibility with mobile devices, including smart phones and tablets. At Amerigroup Washington, Inc., we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. Learn about provider enrollment. Apple Health (Medicaid) Provider manuals and guides Amerigroup Washington, Inc. is committed to supporting you in providing quality care and services to the members in our network. Health (7 days ago) We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. You can live chat with a representative or send a secure messageonce you log in. Nondiscrimination policy. Washington Apple Health is an umbrella term or "brand name" for all Washington State medical assistance programs, including Medicaid. Learn how to remove your name from the list of providers accepting new patients. Visit Dentist Link or call 1-844-888-5465. 106-103-5173. Download and complete the Authorization Agreement for . This includes care from a primary care provider (PCP) you choose and help with prescription drugs. This includes care from a primary care provider (PCP) you choose and help with prescription drugs. Manage your IngenioRx Pharmacy prescriptions, if applicable. To learn more, see the member handbook. Contact Member Services. For further information regarding the new CVO credentialing process, please visit DCH provider portal : www.mmis. Amerigroup Corporation today announced that its New York health plan has received the necessary regulatory approvals and closed the previously announced acquisition of Health Plus, one of the largest Medicaid managed care companies in New York currently serving more than 320,000 members. 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