Monitoring of the quality of care and service provided by individual practitioners and providers, which includes complaints from members and patient safety concerns.Īmbetter does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select the practitioners and facilities in the network.Assessment of facilities such as hospitals, to ensure they are appropriately licensed and accredited.The ability of practitioners to meet our credentialing criteria, including a valid license to practice, applicable education and training, appropriate work history, etc. We are in-network with most health insurance carriers and offer simple out-of-pocket fees for those without insurance.The availability of certain types of practitioners or hospitals in your area.We regularly review the provider network and make decisions about which providers remain in the network and if additional providers are needed, based on relevant factors that could include: Providers, including hospitals, pharmacies, medical equipment companies, etc.Īmbetter makes sure practitioners and providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes to ensure you receive quality care in a timely manner.Īmbetter contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms.Specialty physicians, such as cardiologists, neurologists, etc.To accomplish these goals, Ambetter contracts with a full range of practitioners and providers such as: And more (refer to your Evidence of Coverage (EOC) for the full list of benefits).The Ambetter network includes healthcare providers to deliver all of the services that the Affordable Care Act describes as Essential Health Benefits. Focus on making providers available who have a history of better healthcare outcomes.Keep our premiums affordable and lowering costs for members.We want you to be and stay healthy! Ambetter strives to provide access to a quality healthcare network with the goals: Below is a searchable listing of AHCCCS registered providers.Use your ZIP Code to find your personal plan.įind and enroll in a plan that's right for you.įind everything you need in the member online accountįind a Provider in your area Provider Network Design Since 1996, TriWest Healthcare Alliance has been On a Mission to Serve our nations Veteran and military communities. The child may access services directly from any AHCCCS registered provider regardless of whether the provider is contracted with the RBHA. The legislation known as Jacob’s Law outlines that if behavioral health services are not received within 21 days from a behavioral health evaluation after a child is removed from their home, the out-of-home placement or adoptive parent must contact the RBHA and AHCCCS customer services at 1-80 to document the failure. Providers with multiple office locations will be listed under each location. When you click search, a listing of AHCCCS registered providers will appear and the provider’s Name, Specialty, Address and Phone number will be listed. To search for a provider, you can click the drop down arrow on Specialty to select All or a specific type of Specialty, such as, Audiologist or Pediatric Psychiatrist, etc. You can also call the provider’s office and ask if they are contracted with a certain health plan. Members should check their MCO’s provider directory to confirm the provider is contracted with a specific health plan. These are providers located in the state of Arizona, and these providers may or may not be contracted with all of the AHCCCS Managed Care Organizations (MCOs). ![]() ![]() Below is a searchable listing of AHCCCS registered providers by Specialty. Tucson Rita Ranch Eye Doctors & Eye Care Providers Nationwide Vision Tucson Rita Ranch Tucson Eye Care 9160 S.
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