Am I eligible for Apple Health (Medicaid)? If you are interested, please let us know. Contact Member Services. You can also send us a secure message through your account. Available in Cowlitz, Grays Harbor,Jefferson, Kitsap, Lewis, Mason, Pacific, Thurston, Wahkiakum counties. You can search by provider name, city and state or specialty. Washington Apple Health is an umbrella term or brand name for all Washington State medical assistance programs, including Medicaid. It also enables Amerigroup to be more effective, efficient, and inclusive as a health plan. Sign up for Electronic Funds Transfers (EFT) so payments go directly to your bank account. 100%. 2021Amerigroup Corporation Amerigroup (AMG) 1-800-600-4441: Community Health Plan of Washington (CHPW) . Your PCPs name is listed on your ID card. To change your PCP, log in to your secure account or call Member Services at 1-800-600-4441 (TTY 711). There are no copays or coinsurance for services included in your plan. Health WebLet's find a health care provider that meets your needs! Get the app You can also learn about the quality of hospitals near you by using Hospital Compare. DentistLink has an up-to-date Apple Health dental provider list. We work with IngenioRx to provide your pharmacy benefits. 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. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. Health (4 days ago) Visit Dentist Link or call 1-844-888-5465. Need help with something? 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 Find the phone number of an Ombuds in your area. This call is free. Find the phone number of an Ombuds in your area. How do I notify PEBB that my loved one has passed away? Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Member Services: 1-800-600-4441 (TTY 711). Apple Health (Medicaid): 1-800-454-3730 Medicare: 1-866-805-4589 We look forward to working with you to provide quality service for our members. Update your contact info. Amerigroup Washington, Inc. Am I eligible for Apple Health (Medicaid)? The Ombuds is independent from Amerigroup Washington. 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. Please contact your provider representative for assistance. Join us in talking about racism and its impact on health. You can also call 1-800-600-4441 (TTY 711) to request materials in another language or format including audio, braille, or large print. free highland cow crochet pattern; age of war 2 hacked without flash . If youre not happy with him or her, you can switch anytime unless youre in the Patient Review and Coordination program. If you are receiving Apple Health coverage through a managed care plan (i.e. Get translation and interpretation services free of charge. These benefits are paid by the state (using your ProviderOne card). Request a call back from Member Services. Read it to learn about: Did you know most doctor appointments only last 15 minutes? Fill out this form and bring it with you to your appointment. The dates below are used for Medicare compliance and do not apply to provider data updates. See if you are eligible. . To learn more, talk to your doctor. Amerigroup Washington, Inc. is committed to supporting you in providing quality care and services to the members in our network. Call now: 855-953-6479 (TTY: 711) Speak to a Amerigroup.com Y0114_20_122379_U CMS Accepted 05/08/2020 You are leaving Anthem.com To be removed, you must submit a request through the Provider File Maintenance process in ProviderOne. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. To update your provider information, login to ProviderOne and select provider file maintenance. For information about a providers medical school and residency, call Member Services at 1-877-644-4613 (TDD/TTY 1-866-862-9380). Did you know you can search for a doctor from your phone with the Amerigroup mobile app? 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. Get these benefits, plus more. Apple Health (Medicaid): 1-800-454-3730 Medicare: 1-866-805-4589 Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Seven days a week, 8 a.m. to 8 p.m. The Ombuds is independent from Amerigroup Washington. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. 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). 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. They can help if you have a behavioral health grievance, appeal or fair hearing. 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. Log into ProviderOne. 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: Medicare: 1-866-805-4589. , You can get more information about the providers in our health plan. 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. Important! You can live chat with a representative or send a secure messageonce you log in. To learn more, see the member handbook. Provider tools & resources. 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 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. Let's find a health care provider that meets your needs! Contact Us | Amerigroup. The system has detected you are viewing this site using a mobile device. Health (7 days ago) We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. Just send an email to healthpromotions@amerigroup.com and mention "HEADC" in your message. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. In Washington State, Medicaid is called Apple Health. Always show both your Amerigroup ID card and your ProviderOne card when you get these services. We work directly with providers to give them access to tools and supports to engage with members and enhance their behavioral health capabilities. The brand name may be shortened to "Apple Health.". If your employer requires you to use your employee ID number to register, enter that number exactly as provided by your employer. Amerigroup covers hormone therapy and behavioral (mental) health services at no cost. Nondiscrimination policy. HCA Find-a-Provider - Washington. We apologize for this inconvenience. Not familiar with this process? Call now: 855-953-6479 (TTY: 711) Speak to a licensed sales agent. This is a directory of providers who have registered as accepting new Apple Health clients. Enrollment is open - find the Medicare plan you need, at a price you like. Your Apple Health benefits include things like: To learn more about Apple Health benefits, see our member handbook. They can help if you have a behavioral health grievance, appeal or fair hearing. . Search. We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. 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. To learn about these benefits, see the member handbook. Clinical UM guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services. Call or text the DentistLink specialists team to find the right dentist for you: 844-888-5465. There are no copays for your pharmacy benefits. Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered. Employee ID applies to a very small percentage of our membership. Urgent care centers. Kaiser Permanente NW. Copyright 2022 Washington Health Care Authority. Your dental benefits are paid by the state (using your ProviderOne card). Being healthy is about more than just doctor visits. Here to Help You. Being healthy is about more than just doctor visits.The benefits and services you receive are designed to make a difference in your life. 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). Kaiser Foundation Health Plan of the NorthWest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon. 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. . Learn more about becoming a provider and keeping your information updated. 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. Health Care Authority covers most surgical services. Find Healthcare Providers Amerigroup. Click to start your search. Learn more about our Medicaid health plans and how to enroll by choosing your state below. If you contact a provider who is not accepting Apple Health, please ask them to remove their name from the list. 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. You can get rides to and from non-emergency medical appointments. Medicaid and Medicare Insurance Amerigroup. 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. You also can call us at 206-695-7081, ext. Looking for a form but don't see it here? The road to good health starts with having quality doctors and health benefits to turn to when youre sick. This includes care from a primary care provider (PCP) you choose and help with prescription drugs. You can search by name, specialty or location. . Surgical services may be offered by any provider who accepts . These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve. Here you will find information for assessing coverage options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering . Log in to Availity ; . 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. Go mobile! You can search for a dentist through our Find a Dentist directory, . Manage your IngenioRx Pharmacy prescriptions, if applicable. order them through participating optical providers at discounted prices. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. We know health care can be confusing. Visit Dentist Link or call 1-844-888-5465. 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. Hospitals. Apple Health. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost. WebThe Apple Health Single Preferred Drug List (PDL) is a list of all brand-name and generic drugs available on the plan. Outside the United States. We cannot guarantee compatibility with mobile devices, including smart phones and tablets. Your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan. Learn how to remove your name from the list of providers accepting new patients. Download and complete the Authorization Agreement for . AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact . To learn more, visit our referrals and preapprovals page. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. Amerigroup is a health insurance plan that serves people who receive Medicaid. Chat with a live person or send us a secure message. The Health . With access to your secure account, you can: Change your primary care provider. We put tools and technologies in your hands to make it easier to access care and services. 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. Find a Specialist: See any acupuncture, massage, and chiropractic licensed provider in Washington. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. The Amerigroup app helps you make healthy happen, wherever you go. 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. georgia .gov or contact HP Provider > Call Center at 1-800-766-4456. You can search for many different providers, like: Primary care providers (PCP) Specialists. 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 So here are some tools to help you keep track. Learn about provider enrollment. Your primary care provider or health plan . The acquisition is effective May 1, 2012. During the application process, you will be able to choose a health plan. Members receive the care and services needed to become and stay healthy. 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). If you are a provider active in ProviderOne, you will appear in this directory. 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. After logging in, select Payer Spaces. Need help with something? Contact Member Services. Labs (to get blood tests) Long-term services and supports. We offer a wide range of prescriptions and many over-the-counter medicines (with an order from your doctor). Find detailed listings for mental health professionals in: Behavioral health providers. 106-103-5173. For further information regarding the new CVO credentialing process, please visit DCH provider portal : www.mmis. *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. Available statewide. A library of the forms most frequently used by health care professionals. Medical policy addresses the medical necessity of new services or procedures and new applications of existing services or procedures. You may proceed at your own risk. You will need your member ID number to register . There are some treatments and services that need preapproval before you can get them. Average Overall User Rating for Dermatologists who take AmeriGroup: 4 (out of 5) How do I notify SEBB that my loved one has passed away? There's no more critical person on this team than you, the provider. View or print your member ID card. Through provider file maintenance you can: Verify and update physical, mailing and pay-to addresses. 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. Call Member Services at 800-600-4441 (TTY 711) if you have questions or need any help. Employee ID. . 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. To find a plan PCP plan near you, use our At Amerigroup Washington, Inc., we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. The brand name may be shortened to Apple Health.. Providing care for those who need it most requires a team effort. Get these benefits, plus more. An Ombuds is a person who can provide free and confidential help related to your behavioral health services. Enroll Renew. Become an Amerigroup provider: Navigate to https://www.availity.com. Visit one of Kaiser Permanente NW's online provider directories for Classic, CDHP, and Senior Advantage. *Eye exams can be more frequent if medically needed. 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. Apple Health offers managed care plans in all regions statewide. . 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.
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