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If a provider is no longer accepting Apple Healthbut has not updated their informationthey may appear in the directory. Labs (to get blood tests) Long-term services and supports. These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve. 106-103-5173. , You can get more information about the providers in our health plan. Call or text the DentistLink specialists team to find the right dentist for you: 844-888-5465. Call now: 855-953-6479 (TTY: 711) Speak to a licensed sales agent. We know health care can be confusing. In Washington State, Medicaid is called Apple Health. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Copyright 2022 Washington Health Care Authority. Chat with a live person or send us a secure message. . Average Overall User Rating for Dermatologists who take AmeriGroup: 4 (out of 5) 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. We apologize for this inconvenience. 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. AmeriGroup, Community Health Plan of Washington, Coordinated Care, Molina, or United Health) you must contact . Read it to learn about: Did you know most doctor appointments only last 15 minutes? Washington Apple Health is an umbrella term or brand name for all Washington State medical assistance programs, including Medicaid. The Amerigroup app helps you make healthy happen, wherever you go. Washington Apple Health is an umbrella term or "brand name" for all Washington State medical assistance programs, including Medicaid. Visit the Pharmacy page to find a pharmacy near you and check if your medicine is covered. order them through participating optical providers at discounted prices. You can search by name, specialty or location. 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 . To learn more, talk to your doctor. To learn about these benefits, see the member handbook. Visit Dentist Link or call 1-844-888-5465. There's no more critical person on this team than you, the provider. This call is free. Learn about provider enrollment. So here are some tools to help you keep track. Get these benefits, plus more. Update your contact info. . Hospitals. Urgent care centers. We offer a wide range of prescriptions and many over-the-counter medicines (with an order from your doctor). Kaiser Permanente NW. How do I notify SEBB that my loved one has passed away? Log into ProviderOne. Call Member Services at 800-600-4441 (TTY 711) if you have questions or need any help. Here to Help You. Nondiscrimination policy. Get translation and interpretation services free of charge. Being healthy is about more than just doctor visits. During the application process, you will be able to choose a health plan. You can live chat with a representative or send a secure messageonce you log in. Your Apple Health benefits include things like: To learn more about Apple Health benefits, see our member handbook. Behavioral health providers. Did you know you can search for a doctor from your phone with the Amerigroup mobile app? Your primary care provider or health plan . Apple Health (Medicaid): 1-800-454-3730 See if you are eligible. Call now: 855-953-6479 (TTY: 711) Speak to a Amerigroup.com Contact Member Services. Your dental benefits are paid by the state (using your ProviderOne card). To be removed, you must submit a request through the Provider File Maintenance process in ProviderOne. Available statewide. Coronavirus: Stay up to date on vaccine information for COVID-19. Looking for a form but don't see it here? Employee ID applies to a very small percentage of our membership. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. Learn how to remove your name from the list of providers accepting new patients. 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. Clinical UM guidelines focus on detailed selection criteria, goal length of stay, and location for generally accepted technologies or services. 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. The road to good health starts with having quality doctors and health benefits to turn to when youre sick. Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. To find a plan PCP plan near you, use our Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. You may proceed at your own risk. Find the phone number of an Ombuds in your area. DentistLink has an up-to-date Apple Health dental provider list. Health (4 days ago) Visit Dentist Link or call 1-844-888-5465. Find a Specialist: See any acupuncture, massage, and chiropractic licensed provider in Washington. You can search for many different providers, like: Primary care providers (PCP) Specialists. To change your PCP, log in to your secure account or call Member Services at 1-800-600-4441 (TTY 711). 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. Use our search tool below to find a plan provider close to home. 2021Amerigroup Corporation Amerigroup Washington, Inc. Am I eligible for Apple Health (Medicaid)? Search. They can help if you have a behavioral health grievance, appeal or fair hearing. Always show both your Amerigroup ID card and your ProviderOne card when you get these services. . Log in to Availity ; . Use the search tool on Amerigroup.com to find Medicare, Medicaid and Medicare-Medicaid providers. Apple Health (Medicaid): 1-800-454-3730 Medicare: 1-866-805-4589 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. 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. View or print your member ID card. Y0114_20_122379_U CMS Accepted 05/08/2020 You are leaving Anthem.com Here you will find information for assessing coverage options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering . 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. 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. Just send an email to healthpromotions@amerigroup.com and mention "HEADC" in your message. Your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan. . The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. . 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. Medical policy addresses the medical necessity of new services or procedures and new applications of existing services or procedures. Not familiar with this process? An Ombuds is a person who can provide free and confidential help related to your behavioral health services. Go mobile! This is a directory of providers who have registered as accepting new Apple Health clients. This includes care from a primary care provider (PCP) you choose and help with prescription drugs. If you are interested, please let us know. Member Services: 1-800-600-4441 (TTY 711). Amerigroup is a health insurance plan that serves people who receive Medicaid. Amerigroup covers hormone therapy and behavioral (mental) health services at no cost. There are no copays for your pharmacy benefits. 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. Apple Health (Medicaid): 1-800-454-3730 Medicare: 1-866-805-4589 How do I notify PEBB that my loved one has passed away? 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. After logging in, select Payer Spaces. Providing care for those who need it most requires a team effort. A library of the forms most frequently used by health care professionals. This includes care from a primary care provider (PCP) you choose and help with prescription drugs. Click to start your search. Learn more about our Medicaid health plans and how to enroll by choosing your state below. Seven days a week, 8 a.m. to 8 p.m. We cannot guarantee compatibility with mobile devices, including smart phones and tablets. Available in Cowlitz, Grays Harbor,Jefferson, Kitsap, Lewis, Mason, Pacific, Thurston, Wahkiakum counties. Download and complete the Authorization Agreement for . Learn more about becoming a provider and keeping your information updated. Am I eligible for Apple Health (Medicaid)? For information about a providers medical school and residency, call Member Services at 1-877-644-4613 (TDD/TTY 1-866-862-9380). WebThe Apple Health Single Preferred Drug List (PDL) is a list of all brand-name and generic drugs available on the plan. If youre not happy with him or her, you can switch anytime unless youre in the Patient Review and Coordination program. Amerigroup Washington, Inc. is committed to supporting you in providing quality care and services to the members in our network. Visit one of Kaiser Permanente NW's online provider directories for Classic, CDHP, and Senior Advantage. 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 can live chatwith a representative or send a secure messageonce you log in. 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. To learn more, see the member handbook. Find a Doctortool. If you are a provider active in ProviderOne, you will appear in this directory. The Ombuds is independent from Amerigroup Washington. We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. To get the most of your time, its good to be prepared. . The Ombuds is independent from Amerigroup Washington. To learn more, visit our referrals and preapprovals page. *Eye exams can be more frequent if medically needed. Sign up for Electronic Funds Transfers (EFT) so payments go directly to your bank account. Kaiser Foundation Health Plan of the NorthWest offers plans in Clark and Cowlitz counties in Washington and select counties in Oregon. They can help if you have a behavioral health grievance, appeal or fair hearing. Enroll Renew. 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. Health Care Authority covers most surgical services. georgia .gov or contact HP Provider > Call Center at 1-800-766-4456. Let's find a health care provider that meets your needs! Contact Member Services. Contact Us | Amerigroup. To update your provider information, login to ProviderOne and select provider file maintenance. Fill out this form and bring it with you to your appointment. Provider tools & resources. With access to your secure account, you can: Change your primary care provider. We work directly with providers to give them access to tools and supports to engage with members and enhance their behavioral health capabilities. 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. There are some treatments and services that need preapproval before you can get them. Medicaid and Medicare Insurance Amerigroup. You also can call us at 206-695-7081, ext. Apple Health offers managed care plans in all regions statewide. Health WebLet's find a health care provider that meets your needs! For adults - eyeglass frames and lenses are not covered by Apple Health, but if you wish to buy them, you can Get the app If your employer requires you to use your employee ID number to register, enter that number exactly as provided by your employer. 100%. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost. We work with IngenioRx to provide your pharmacy benefits. 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. You will need your member ID number to register . The dates below are used for Medicare compliance and do not apply to provider data updates. Find detailed listings for mental health professionals in: Through provider file maintenance you can: Verify and update physical, mailing and pay-to addresses. Amerigroup (AMG) 1-800-600-4441: Community Health Plan of Washington (CHPW) . Apple Health provides preventative care, like cancer screenings, treatment for diabetes and high blood pressure, and many other health care services. You can also send us a secure message through your account. It also enables Amerigroup to be more effective, efficient, and inclusive as a health plan. Medicare: 1-866-805-4589. 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. 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. Discounted Eyewear hardware (not service) for clients 21+ go to Free or low cost Eyewear provider list. 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. Find Healthcare Providers Amerigroup. 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 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). Find the phone number of an Ombuds in your area. Outside the United States. Surgical services may be offered by any provider who accepts . 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 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). Join us in talking about racism and its impact on health. If you contact a provider who is not accepting Apple Health, please ask them to remove their name from the list. Browse our extensive directory of the best Amerigroup Therapists, Amerigroup Psychologists and Amerigroup Counselors near you. Your PCPs name is listed on your ID card. 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. Need help with something? 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: The brand name may be shortened to "Apple Health.". Request a call back from Member Services. 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). You can search by provider name, city and state or specialty. Employee ID. These benefits are paid by the state (using your ProviderOne card). Enrollment is open - find the Medicare plan you need, at a price you like. If you are receiving Apple Health coverage through a managed care plan (i.e. For further information regarding the new CVO credentialing process, please visit DCH provider portal : www.mmis. You can get rides to and from non-emergency medical appointments. Please contact your provider representative for assistance. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. HCA Find-a-Provider - Washington. The brand name may be shortened to Apple Health.. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. The handbook is your go-to guide for all the benefits included in your plan. The Health . We look forward to working with you to provide quality service for our members. *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. The Ombuds is a person who has had behavioral health services, or a person whose family member has had behavioral health services. Manage your IngenioRx Pharmacy prescriptions, if applicable. 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. We put tools and technologies in your hands to make it easier to access care and services. Apple Health. Being healthy is about more than just doctor visits.The benefits and services you receive are designed to make a difference in your life. You can search for a dentist through our Find a Dentist directory, . Health (7 days ago) We have Medicare plans that help you pay for groceries, living expenses, and over-the-counter health items. Important! You can also learn about the quality of hospitals near you by using Hospital Compare. Need help with something? The system has detected you are viewing this site using a mobile device. At Amerigroup Washington, Inc., we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. The acquisition is effective May 1, 2012. We have a diverse network of exceptional health care professionals that ensure our members have uninterrupted access to the health care they need. Become an Amerigroup provider: Navigate to https://www.availity.com. There are no copays or coinsurance for services included in your plan. 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.
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