Amita Health. Get help You can contact us: Online: Just complete our Contact us form By phone: 1-855-232-3596 (TTY: 711) In person at Healthcare Central About us Aetna Better Health of New Jersey part of Aetna, one of the nation's leading health care providers and a part of the CVS Health family. HOME; FAQs; ELIGIBILITY; FIND A DENTIST; CONTACT US; Find a Dentist. The New Jersey Smiles Dental Program requires that children must have an established dental home by the age of 2. TheNational Committee for Quality Assurance (NCQA) evaluates health plans on the quality of care that members receive. *Terms and conditions apply. Update your contact info. 2023 LIBERTY Dental Plan, All Rights Reserved. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Did you find information that you think may need to be updated in our provider directories? LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. Medical Policies and Clinical UM Guidelines, Medicare Advantage medical record documentation and coding resources, Early and Periodic Screening, Diagnostic and Treatment, Liberty Dental Plan's online provider portal, Childrens fluoride varnish application for nondental providers. 1.Choose the TYPE of user you would like to create an account for: Dr. Rubinstein joined LIBERTY Dental Plan in 2019 as a Staff Dentist and transitioned to the position of New Jersey Dental Director in 2020. Create an Account. AMERIGROUP COMMUNITY CARE NJ FAMILYCARE AGES 0-6 PROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORES Member Services / Servicios para miembros : (833)-276-0848 ATLANTIC COUNTY ENDODONTICS #014536 Absecon Family Dental. LIBERTY Dental Plan welcomes you to ourNew Jersey site. LIBERTY Dental Plan of New Jersey is a statewide licensed Dental Provider Organization with our own statewide network of contracted general and specialty dental providers. Welcome to Aetna Better Health Inc., a New Jersey corporation, d/b/a Aetna Better Health of New Jersey. P.A 658 Whitehorse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . *For some Anthem Medicare Advantage plans, LIBERTY also has an agreement with The Guardian Life Insurance Company of America (Guardian). LIBERTY is a different kind of Managed Care plan that is changing the face of oral health. Dental Plan click here for plan descriptions. Request an Office Transfer The NJFC Directory of Dentists Treating Children under the Age of 6 PDF The NJFC Directory of Dentists Treating Children Between the Ages of 7 and 20 PDF For complete details on the scope of this review, visit, LIBERTY Dental Plan Language Needs Survey, Clinical Criteria Guidelines & Practice Parameters, Americans with Disabilities Act (ADA) Survey. With access to your secure account, you can: Change your primary care provider. LIBERTYs philosophy of emphasizing preventive care and proactive oral hygiene results in overall cost savings. Last Name. EarlyandPeriodicScreening,DiagnosticandTreatment(EPSDT). Until your Medicaid MCO enrollment becomes effective, you can receive your Medicaid benefits through the Medicaid Fee-for-Service program. 807 Spring Forest Rd, Ste 600, Raleigh, NC 27609. Find a Dentist - LIBERTY Dental Plan. That is why we have redesigned the provider site to make it more useful for you and easier to use. Have questions about COVID-19 vaccines? He received his bachelor of science in Chemistry and Doctor of Dental Surgery degrees in 2004 and 2008, respectively. We are educators and advocates completely dedicated to improving oral health and whole person health in the communities we serve, and we give 110% all the time, every time. At Amerigroup Community Care, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. 9l{WN3\+?_Su[R4goT^Q NX1i55 Liberty Dental Plan. Dr. Contact us today if you have questions or need information. The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. You should also schedule a dental exam/checkup soon after you become a member, and twice per year thereafter. Starting July 16, you can call or text 988 or chat if you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis. Dental benefits are managed through State. LIBERTYs service driven focus and timely claims payment has earned it a positive reputation among dental providers. If English is not your preferred language and you need help communicating in your preferred language, you may call 888-703-6999 to ask what language services are available to you. We look forward to working with you to provide quality services to our members. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. For complete details on the scope of this review, visit, LIBERTY Dental Plan Language Needs Survey, Clinical Criteria Guidelines & Practice Parameters, Americans with Disabilities Act (ADA) Survey, Third Party Clearinghouse: LDP Payer ID CX083. %PDF-1.7 % Stay informed activate your online account. Note: If you are a New Jersey resident enrolled in both Medicaid and Medicare select NJ Amerivantage Dual Coordination (HMO D-SNP) or NJ Amerivantage Dual Secure (HMO D-SNP) Search Criteria ProgramProgram. Did you know that our New Jersey members can now get a special coupon book filled with savings? As states begin to recommence Medicaid renewals, we want to ensure you have the information needed to help your Medicaid patients renew their healthcare coverage. New Jersey Smiles PCPs provide dental risk assessments, fluoride varnish application, anticipatory guidance, and a referral to a PCD for a full exam and treatment. 2023 LIBERTY Dental Plan, All Rights Reserved. Dental services Liberty Dental Local and state resources Interim Managing Entity (IME) Website Division of Medical Assistance and Health Services Documents Cognitive Impairment Issues Community Resources Related information Documents OrthoNet focused claim review program notice and FAQs Provider tools & resources Log in to Availity Amerigroup se enorgullece de prestar servicio a los miembros de NJ FamilyCare en New Jersey. LIBERTY Dental Plan of New Jersey. Members should be referred to a dentist for a complete oral evaluation, including appropriate diagnostic and preventive services. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Please visit Liberty Dental Plan* at www.libertydentalplan.com/AmerigroupNJ, or call 833-276-0854 for dental referrals. Liberty Dental Managed Care of North America (MCNA) Delta Dental Medicaid Covers Bony-Impacted Wisdom Teeth Removal The health insurance component of Medicaid should cover bony-impacted wisdom teeth removal, regardless of the state where you live. En el directorio encontrar lo siguiente: Dentistas generales Especialistas en salud dental Los proveedores de la red que figuran en este directorio estn disponibles para ofrecerle servicios dentales. Type at least three letters and well start finding suggestions for you. Did you find information that you think may need to be updated in our provider directories. Network Managers are assigned regionally and by county, allowing the providers timely and direct access to LIBERTY staff. }-+Egqm&!Z@+s2V4v MedZed* provides a valuable service to members enrolled in Amerigroup Community Care. K2#0'db3sH7c6,"Y1n02+DJ"LH fU, H;#30^0 A LIBERTY has redefined Dental Managed Care by addressing the industry negatives and offers a better solution: LIBERTY Dental Plan Language Needs Survey, Clinical Criteria Guidelines & Practice Parameters, Americans with Disabilities Act (ADA) Survey. Chat with a live person or send us a secure message. )v}y?fvks?8,tb}v If you have a NJ FamilyCare C or D plan, you may have to pay a copay at your visit. Find learning opportunities to assist with administering your patients health plan using Availity Essentials multi-payer features and payer spaces applications. We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with behavioral health, substance use, and intellectual and developmental disabilities. LIBERTY makes certain language assistance services available to you at no cost. This web-based training will cover provider updates, reminders, and how to use the Amerigroup digital tools and we will have guest speakers from: Availity. California: (888) 703-6999 8AM - 5PM PT Florida: (833) 276-0850 8AM - 5PM PT Florida Healthy Kids: (877) 550-4436 7:30AM - 7:30PM ET Nevada: (888) 401-1128 5AM - 5PM PT NY & NJ: (888) 442-6395 5AM - 5PM PT All Other States: (888) 700-1246 LIBERTY Dental Plan Apr 2020 - Present3 years 1 month New Jersey, United States I'm responsible for maintaining and growing the Central and South New Jersey network of providers for. Be prepared with the knowledge to assist our members. Enjoy immediate access to member-only discounts on your dental care needs including free x-rays, low-cost exams and 25-50% off most other services at your participating dentist. LIBERTY Dental Plan is committed to being the industry leader in providing quality, innovative, and affordable dental benefits with the utmost in member satisfaction. hXn7~7.7p6@7@R;\=R+,/!pHLq&gSf\2,oW-,-tjN) DK&92B2)G(& K&`4. We are managed by Dentists and know what is needed to best serve you and protect your oral health. Could not load file or assembly 'System.Web.Helpers, Version=3.0.0.0, Culture=neutral, PublicKeyToken=31bf3856ad364e35' or one of its dependencies. We're here for you 24 hours a day, 7 days week. Dr. Deborah Simmers is a graduate of the East Carolina University (ECU) School of Dental Medicine and is a member of the American Dental Association, North Carolina Dental Society, and Old North State Dental Society. Type at least three letters and well start finding suggestions for you. On September 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. Type at least three letters and well start finding suggestions for you. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. Results will show both available networks (LIBERTY Dental Plan EPO proprietary network and Guardians nationwide DentalGuard Preferred Select DGPS PPO network). To find a dentist or get help with dental benefits, call LIBERTY Dental Member Services at 1-833-276-0848 (TTY 711), Monday through Friday, 8 a.m. to 8 p.m. Eastern time. Call 1-800-600-4441 (TTY 711) anytime, day or night, even on weekends and holidays. For complete details on the scope of this review, visit. Resources that help health care professionals do what they do best care for our members. All services must be medically necessary. Provider tools & resources Log in to Availity Launch Provider Learning Hub Now Learn about Availity Prior Authorization lookup tool Prior Authorization requirements Claims overview Member eligibility & pharmacy overview Provider manual and guides Referrals Forms Training Academy Interested in joining our provider network? Learn more on our official site. If English is not your . As a LIBERTY enrollee (including enrollees with disabilities), you have full and equal access to covered services as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Start Subscription Examples of Savings Enjoy quality dentistry at a fraction of the price with ProSmile Membership. Were offering more ways to get help. LIBERTY Dental Plan of New Jersey is a statewide licensed Dental Provider Organization with our own statewide network of contracted general and specialty dental providers. American Healthcare Alliance. Click here to let us know so we can fix it. And your provider may need prior approval . 496 0 obj <>/Filter/FlateDecode/ID[<503A3FE11C9DF946BE008BEABF557B0E><503A3FE11C9DF946BE008BEABF557B0E>]/Index[462 78]/Info 461 0 R/Length 148/Prev 475611/Root 463 0 R/Size 540/Type/XRef/W[1 3 1]>>stream At Amerigroup Community Care, we value you as a provider in our network. Please call LIBERTY Dental toll free at . The Federal government has launched a national website, covidtests.gov, where each household can order a one-time shipment of four (4) free Over-the-Counter (OTC) at-home COVID-19 tests. LIBERTY Dental Plan of New Jersey P.O. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. Dental care from a LIBERTY Dental plan dentist. JhE8uV%VB:KsQ&VRU/dg-{A2*[ZZzEV!,UX!((F!& :VNaT"0Av7 _K(PlPH@0`d*4ojuCge`dh+141)wV@ ZVI We excel at staying on the forefront of development and implementation of such programs. Please refer to your Evidence of Coverage for information on your Liberty Dental member cost-sharing and benefits. * We will have guest speaker Karen Mulcahy to discuss Availity attachments and dispute process using Claim Status. Amerigroup is a NCQA Accredited health plan in New Jersey. Dental care We work with LIBERTY Dental to manage your dental benefits. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Auto-assign the closest participating dentist for all subscribers . These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve. Orders are shipped directly fromcovidtests.gov. If English is not your preferred language and you need help communicating in your preferred language, you may call 888-703-6999 to ask what language services are available to you. Amerigroup Community Care is an NCQA Accredited Plan in New Jersey. 5.00. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Prior Authorizations Claims & Billing Clinical Behavioral Health Pharmacy Maternal Child Services Other Forms Disease Management Utilization Management/Case Management Provider Demographics/Credentialing Provider tools & resources Log in to Availity Launch Provider Learning Hub Now by AttestHealth Care Advisors, LLC, an NCQA certified audit group. You do not need a referral for these services: Emergency care. To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. Beyond the standard NJ FamilyCare Benefits, Amerigroup also offers many extras which include but are not limited to the following: See any participating Amerigroup providers, no referrals . Hey Amerigroup Community Care members! For more information about Amerigroup coverage policies and claims submission, please contact Provider Services: New Jersey Smiles services are provided by a trained PCP or PCP medical staff (medical doctor, DO, nurse practitioner, or physician assistant) who refers children through age 5 to the program. Visit our COVID-19 Resource Center for more information. Well do the same for you. hb```".V!20p` ldHUd`]s t}F$'33;(wogQaLkN04d)Hauetauf`/d~-bl!XL48%Hod:1A+cCL to choose Amerigroup as your health plan or visit our How to enroll page. For assistance with finding a network dentist, please contact Member Services Monday through Friday. All Rights Reserved. for assistance. DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. You'll need to show both your Aetna Better Health of New Jersey ID card and NJ FamilyCare card at the visit. Did you find information that you think may need to be updated in our provider directories? We are committed to ensuring that our members receive necessary preventative and diagnostic treatments on a routine basis, averting costly and damaging episodic treatment. Visitsave around to get yours today! To meet EPSDT dental requirements, a dental visit must occur. Outside these hours, you can call us at 1-855-232-3596 (TTY: 711). Amida Care. Health coverage for pregnant women, low-income parents and children, uninsured adults, and people who are aged, blind or disabled, Long-term services and supports for people who need nursing home level of care, but wish to remain in their home or community. The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more. New Jersey - 1-844-887-6350 . 0 Note: If you are a New Jersey resident enrolled in both Medicaid and Medicare select NJ Amerivantage Dual Coordination (HMO D-SNP) or NJ Amerivantage Dual Secure (HMO D-SNP). %%EOF 5 verified reviews. *Liberty Dental is an independent company providing dental benefit management services on behalf of Highmark Blue Cross Blue Shield of Western New York Local and state resources County Department Social Services Allegany County Department of Social Services: 1-585-268-9300 Cattaraugus County Department of Social Services: 1-716-373-8077 LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. Amerigroup offers health insurance plans for Medicare Advantage, Medigap, Medicare Part D and Medicaid. Whether you're a member or provider Amerigroup is here for you. 888.273.2719. Dental screening by a PCP includes monitoring of tooth eruption, occlusion pattern, presence of caries, oral infection, and referral to a primary care dentist (PCD) for a full exam and treatment. Learn more on our official site. Para encontrar o cambiar de dentista, llame a LIBERTY Dental al 1 . Additionally, we reach out to members to provide them with valuable Oral Hygiene Instruction and Case Management when necessary to promote a lifetime of exceptional oral health. Please contact your provider representative for assistance. . This is a library of the forms most frequently used by health care professionals. First Name. - Call NJ FamilyCare at 1-800-701-0710 (TTY 1-800-701-0720) to choose a new Medicaid Managed Care Organization (MCO). P.A 658 White Horse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . American Republic Insurance Company. We look forward to working with you to provide quality services to our members. LIBERTYs mission is to be the industry leader in increasing dental health awareness with the utmost focus on improving our members oral health outcomes across their lifespan. Click here to let us know so we can fix it. Please contact We believe that continuing the discussion we started at our June 2022 event to deepen the conversation about the disability experience for people of color is critically important. Well-woman checkups or prenatal care from a women's health doctor (OB/GYN) in our plan. LIBERTY Dental Plan (LIBERTY or "LDP") administers the dental benefit for most Anthem Medicare Advantage plans. Dr. Deborah Simmers, DMD. NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. When speaking with dental offices, please reference the name of both networks (LIBERTY Dental EPO and DentalGuard Preferred Select (DGPS)). The application period to receive help with past due electric and gas bills is closing soon.Check online for your eligibility. Our philosophy is simple and has remained the same since our inception. Fee-for-Service (FFS) services that are not covered by Amerigroup. If you would like more information regarding Amerigroup and the benefits they offer, please call 1-877-453-4080 to speak with an Amerigroup representative. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. For questions concerning your dental benefits or assistance in locating a participating dental provider, please call the number on the back of your Anthem member ID card. Our ability to provide excellent service to our members is dependent on the quality of our provider network. to be listed in the NJ Smiles Directory. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. endstream endobj 463 0 obj <>>> endobj 464 0 obj <> endobj 465 0 obj <>stream Amerigroup NJ Dentist Search; WellCare of NJ Dentist Search; New Jersey Dentist Search; New Jersey Providers; Contact Us; . Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. AMERIGROUP COMMUNITY CARE NJ FAMILYCARE ADULTS PROVIDER DIRECTORY / DIRECTORIO DE PROVEEDORES Member Services / Servicios para miembros : (833) 276-0848 ATLANTIC COUNTY DENTIST #123865 Absecon Family Dental. To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. Manage your CarelonRx Pharmacy prescriptions, if applicable. Liberty Dental Plan's online provider portal. Contact Dr. Harrison N Rubinstein: hrubinstein@libertydentalplan.com, LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Now, you canchat with a live person Monday through Friday from 7:30 a.m. to 6 p.m. Central time, orsend a secure message anytimethrough your online account.. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Amplifon Hearing Health Care. Your child should have a dental checkup before age 1, or soon after the eruption of their first tooth. American Maritime Officers Plans. Since 1996, weve been providing New Jersey families with access to great health care. In collaboration with the Care Management team of Amerigroup, MedZed provides the following services for designated Amerigroup members during enrollment to the MedZed Program. Dr. Harrison Rubinstein grew up on eastern Long Island, New York. contact your provider representative Los beneficios dentales son proporcionados a travs de LIBERTY Dental. Request a call back from Member Services. Box 26110 Santa Ana, CA 92799-6110 (888) 352-7924 Send an Email LIBERTY Dental Plan welcomes you to our New Jersey site. As a LIBERTY enrollee (including enrollees with disabilities), you have full and equal access to covered services as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Dentist Last Name: Office Name: Please note that * indicates a required field. Eligibility Verification By phone: 1-888-352-7924 On line: www.libertydentalplan.com Claims Provider Services Liberty Dental Managed Care of North America (MCNA) Delta Dental State-Brand Names Finally, many adults ask whether their Medicaid plan pays for dental implants by substituting a branded nickname concocted by their state. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. LIBERTY currently partners with WellCare Health Plan in New Jersey to offer dental coverage to WellCares Medicaid members through a statewide contracted network of general and specialty dentists. LIBERTY makes certain language assistance services available to you at no cost. 462 0 obj <> endobj Whether you're a member or provider Amerigroup is here for you. We recognize that Wellness Programs and Disease Management support overall physical and oral health. . 56.5 mi. How to Enroll Get the most from your benefits Find a doctor, hospital or lab Know where to go - getting care 24/7 Your NJ FamilyCare benefits Renew your benefits Member handbooks Providers can submit anesthesia claims for emergency dental procedures to Amerigroup Community Care, as well as inpatient dental facility charges, outpatient dental facility charges and ambulatory surgical center charges for dental services, as part of the Amerigroup coverage. endstream endobj startxref We look forward to working with you to provide quality services to our members. Do not feel bad if you fall into this trap. National Committee for Quality Assurance (NCQA), A 24-hour Nurse HelpLine to answer your health questions anytime, day or night, A Community Resource Link to get help finding things like food, jobs and housing, Over-the-counter medicines to keep you healthy, Special programs for pregnant women and new moms.
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