Paul A. Tufano is Chairman and Chief Executive Officer of the AmeriHealth Caritas Family of Companies, a leading Medicaid managed care organization headquartered in Philadelphia and providing products and services across the United States. Orlando Health Jewett Orthopedic Institute - Downtown Orlando For AmeriHealth HMO and POS group plans, select the DHMO General Dentist network to find a Primary Dental Office (PDO). Forms and Documents. Call Member Services, Monday through Friday, 8 a.m. 8 p.m. at 1-833-613-2262 (TTY 1-844-214-2471). For nearly 40 years, AmeriHealth Caritas has helped Americans nationwide get care, stay well, and build healthy communities. A PDO 365 Days from the DOS. Working with you, we aim to deliver excellent care and improved health outcomes to our members. If you notice any errors in the directory, please fax, on practice letterhead, the information as it should appear, to the attention of Provider Services at 1-833-350-3477, Monday through Bluffton, SC 29910 Driving Directions 800.918.8924. Donald D. Hegland, MD is an Electrophysiologist who sees patients at Duke Electrophysiology Clinic - Clinic 2F/2G and Duke Cardiology South Durham. While it is not included with original Medicare (Parts A and B), it is included with AmeriHealth Caritas VIP Care (HMO SNP), giving you protection from prescription drug costs and peace of mind. AmeriHealth Caritas Florida has earned the Commendable Health Plan Accreditation status from the National Committee for Quality Assurance (NCQA) for 2019 2020. As a Florida -based company, AmeriHealth Caritas Florida is dedicated to serving the needs of Floridians enrolled in the SMMC program. Medicaid Contact Center. Forms and Documents. Requests can be made by telephone: 202-408-4823 or 1-800-408-7510. AmeriHealth Caritas Florida. You want more information about our Get in touch with AmeriHealth Caritas for answers to all of your questions about our health care solutions. Important information for providers regarding COVID-19. To contact the Behavioral Health Utilization Management team directly, please call 1-877-464-2911 or email to IntegratedBHUMOPT@amerihealthcaritas.com. Telehealth Attestation (PDF) Behavioral Health Subspecialty Checklist (PDF) Provider Notifications. (SMMC) program in regions 9 and 11. Additional questions from providers may be directed to the Florida Medicaid Contact Center at 1-877-254-1055. If you have questions, please contact Provider Services at 1-800-617 This page includes important forms and documents to help you get the most out of your AmeriHealth Caritas Next plan for now and whatever comes next. Marketplace expansion for the 2023 plan year includes Delaware, Florida, and South Carolina, and also adding counties in North Carolina. If AmeriHealth Caritas Next is available in select counties of North Carolina, and beginning January 1, 2023, we will offer AmeriHealth Caritas Next, our individual and family health plans Provider adverse incident form (PDF) Complete this form to report adverse incidents or injuries that affect AmeriHealth Caritas Florida members. In Patient-centered support from the experts in managed care health plans. Or providers can submit in writing with required documentation to: Provider Appeals Department AmeriHealth Caritas North Carolina P.O. Amerihealth Caritas Directory Healthcare (1) BCBS Directory Healthcare (3) BCBS Prefix List Alpha (26) BCBS Prefix List Alpha Numeric (26) CPT Codes Guide Healthcare (7) Denial Codes Healthcare (23) Durable Medical Equipment Healthcare (1) Health Insurance in United States of America (3) Healthfirst Directory (1) October 12, 2022. AmeriHealth Caritas Next is available in select counties of North Carolina, and beginning January 1, 2023, we will offer AmeriHealth Caritas Next, our individual and family health plans For Members Member homepage About AmeriHealth Caritas Ohio 27357. If you have questions about us, contact your Account Executive or email ProviderRecruitmentNC@amerihealthcaritas.com. We are developing an expanded network of hospital, physicians and ancillary healthcare Medicaid providers in order to qualify for the SMMC program in 2025. Find your local department on the Medicaid Primary Care Providers page, NC CARE-LINE Information and Referral Service (in NC only): 1-800-662-7030. PO Box 7322. The companys mission is to help those most in need get care, stay well, and build healthy communities. In this section, you'll find During his tenure as CEO, the Through dedicated providers like you, we serve New Hampshire Medicaid members in the Medicaid Care Management (MCM) program. Health (2 days ago) If you have any questions, call AmeriHealth Caritas Next Provider Services at 1-833-983-3577. Behavorial health forms. Orlando Health Winnie Palmer Hospital Center for Obstetrics & Gynecology - Downtown Orlando Be credentialed by AmeriHealth Caritas Pennsylvania (1-800-642-3510, option 2) Sign a Participating Provider Agreement (contract) if not already contracted or if not part of an existing contracted group. If you require a copy of the guidelines that were used to make a determination on a specific request of treatment or services, please email the case number and request to: reqcriteria@eviCore.com. Helpful resources. Call 1-866-533-5490 (TTY 711), Monday through Friday, 8 a.m. 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. 8 p.m., from October 1 to March 31, for more information. If you have questions, you can call AmeriHealth Caritas New Hampshire Provider Services at 18885991479. Floor 2, Suite I Orlando, FL 32819 Call: 321.843.5851 Fax: 321.842.0089 Office Hours: Monday and Thursday, 7:30 am - 4:30 pm When it Member Services: 18553559800. Find a Provider. Provider Services: and providers: 18776527624 (TTY: 18668966975) www.performcarenj.org . eviCore Headquarters 400 Buckwalter Place Blvd. This site contains links to other Internet sites. AmeriHealth Caritas is one of the nations leaders in health care solutions for those most in need. If you have questions, please call Member Services toll-free at 1-855-355-9800 (TTY 1-855-358-5856). As a Florida -based company, AmeriHealth Caritas Florida is dedicated to serving the needs of Floridians enrolled in the SMMC program. 2. AmeriHealth Caritas Louisiana Provider Phone Number: (888) 922-0007. How to Join. When you work with us, you benefit from years of valuable health care experience, knowledge, and a provider service team whose job is to make your job easier. 1 Orlando Health Jewett Orthopedic Institute - Downtown Orlando 1222 S. Orange Ave. Orlando, FL 32806 Phone: (321) 843-5851 . View, print, download, and email personalized directories. Do you Update: Naloxone take-home distribution by federally qualified health centers (FQHCs) and rural health clinics (RHCs) (PDF) AmeriHealth Caritas Pennsylvania is following guidelines outlined in Medical Assistance Bulletin (MAB) 08-22-19 around submitting claims for a take-home supply of naloxone. We intend to With AmeriHealth, you have access to an extensive network of doctors and hospitals. The expansion builds on the existing work the AmeriHealth Caritas Family of Companies already delivers in these states serving Medicaid enrollees and leverages the deep relationships it has built with providers and local PerformCare (Pennsylvania) Members. AmeriHealth Caritas Palm Beach Gardens, FL. 1 Orlando Health Winnie Palmer Hospital Center for Obstetrics & Gynecology - Downtown Orlando 21 W. Columbia St. Suite 100 Orlando, FL 32806 Phone: (321) 841-5560 . You have a question about how to use our directories. To request a Provider Agreement, please complete a Provider Contract Inquiry Form (PDF) and return by email to ProviderRecruitmentNextNC@amerihealthcaritas.com. Call 1-866-546-7972 for information. Synagis - All Florida regions combined (PDF) Synagis - Weight change (PDF) Valcyte (PDF) Vfend (PDF) Need help? Slated to begin later this year, Ohio Medicaid members and providers have a new option for high-quality Medicaid managed care. Focus on whats most important to you your patients with AmeriHealth Caritas resources and support. We are If you have questions, you can call AmeriHealth Caritas North Carolina Provider Services at 1-888-738-0004. Orlando Health Jewett Orthopedic Institute - Spring Lake Address: 7243 Della Dr. AmeriHealth Caritas Next is pleased to invite providers to learn more about our company and our participation as a Florida individual and family health plan licensed for the 2022 plan year. Click on the Hurricane banner at the top of the page for more information. Medicare Part D prescription drug plans help pay the cost of your prescription drugs. Additional questions from providers may be directed to the Florida Enrollment in AmeriHealth Caritas VIP Care depends on contract renewal. This page includes important forms and documents to help you get the most out of your AmeriHealth Caritas Next plan for now and whatever comes next. For Providers AmeriHealth Caritas Next. If you have any questions, For Members Member homepage Become a member Member benefits Find a doctor, drug or pharmacy. (SMMC) program in regions 9 and 11. AmeriHealth Caritas Florida operates as a Medicaid managed care plan through Florida's Statewide Medicaid Managed Care (SMMC) AmeriHealth Caritas Florida. To request any additional assistance in accessing the guidelines, provide feedback or clinical evidence related to the evidence-based guidelines, please This information is not a complete description of benefits. Weve lived the ideals set forth by President Johnson when he Operating in 12 states and the District of Columbia, AmeriHealth Caritas serves approximately 5 million Medicaid, Medicare, and Childrens Health Insurance Program (CHIP), and Health Insurance Marketplace members through its integrated managed care Medicaid Contact Center. Access information to help you complete vital tasks, such as: Join our provider network. In the Raleigh area or outside of North Carolina, call: 919-855-4400. London, KY 40742. AmeriHealth Caritas is pleased to welcome our AmeriHealth VIP Care participating providers. Provider Relations Account Executives to lead our new Exchange ACA DSNP business expansion. The review of prior authorization requests for Providers can file an appeal online by completing the AmeriHealth Caritas North Carolina Provider Appeals Submission form (PDF) and submitting with the required documentation here. A health care plan that is easy to use and understand. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. Application directions are available on the Medicaid Primary Care Providers page. For media inquiries please contact media@evicore.com Amerihealth Caritas Phone Number, Payer ID and Claim address; United Healthcare Provider Number; Medical Coding. www.amerihealthcaritasfl.com. As an AmeriHealth VIP Care provider, you are a part of a dedicated network that is ready to meet our members' health care needs. Responsibilities: The Market President will provide the strategic vision and operational expertise to successfully lead the Ameri Health Caritas Florida Health Plan. Please call Member Services if: 1. Member Handbook (PDF) Box 7379 London, KY 40742-7379 NOTE: ATLAS currently includes facilities in 10 states - Delaware, Louisiana, Florida, Massachusetts, New Jersey, New York, North Carolina, Oklahoma, Pennsylvania, and West Virginia - but plans to expand nationally. Click on the Hurricane banner at the top of the page for more information. The best relationships are formed by staying in touch. AmeriHealth Caritas Florida is not responsible for the content of other Internet sites. Contact your Account Executive. AmeriHealth Caritas Florida serves the following Florida counties: Indian River, Martin, Miami-Dade, Monroe, Okeechobee, Palm Beach, and St. Lucie counties. We deliver comprehensive, outcomes-driven care to those who need it most. Call 1-833-535-3767 (TTY 711), Monday through Friday, 8 a.m. 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. 8 p.m., from October 1 to March 31, for more Florida: 800-7272-2227 800-676-2583 (Blue Card Eligibility) 866-730-5006 (Federal Employee Program) (Dental Providers) 800-676-2583 (Blue Card - Eligibility) Michigan: Call 1-833-535-3767 (TTY 711), Monday through Friday, 8 a.m. 8 p.m., from April 1 to September 30; or seven days a week, 8 a.m. 8 p.m., from October 1 to March 31, for more Relationship development with the state's Medicaid agency is essential. Be enrolled in the Pennsylvania Medical Assistance program (more information below). AmeriHealth Caritas New Hampshire Provider Phone Number, Claims address, Payer ID and Timely filing Limit. AmeriHealth Caritas Next to Serve 10 Additional North Carolina Counties, Expand Into Delaware, Florida, and South Carolina Requests can be made by fax: 202-408-1031 or 1-877-759-6216. As an AmeriHealth Caritas VIP Care (HMO SNP) participating provider, we've made it easy for you to access all of your important plan communication in one place. Do you have a question or need help with a form? 87716. Providers. The Market President is responsible for cultivating AmeriHealth Caritas' presence and brand recognition through establishing influential relationships with key stakeholders and by developing partnerships with key providers, associations, and community leaders. While we want you to have the widest range of choices, we also want to make sure Participating providers Florida Enrollment in AmeriHealth Caritas New Hampshire Provider Phone Number: ( 321 843-5851! Donald D. 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