Be prepared with the knowledge to assist our members. Dentist. Interested in joining our provider network? 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. Did you find information that you think may need to be updated in our provider directories. Request an Office Transfer. Dr. View or print your member ID card. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. Amita Health. Available in only nine states, Amerigroup is best for budget-minded shoppers who want a cheap plan and are willing to navigate health insurance frustrations. 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. Call 1-800-600-4441 (TTY 711) anytime, day or night, even on weekends and holidays. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Stay informed activate your online account. Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Click here to request an office transfer. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. 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. endstream endobj startxref 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 When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. Were offering more ways to get help. He is passionate about all aspects of dentistry and enjoys skiing, golfing, fishing, food tastings and spending time with his wife and two young children. 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. for assistance. Benefits include but are not limited to: For questions about eligibility verification or claims, please contact Liberty Dental Plan at 1-888-352-7924 or visit If English is not your . 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 . 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. %PDF-1.7 % He attended SUNY-Stony Brook for his undergraduate and dental medicine studies. LIBERTY has extensive experience administering dental benefits, including utilization management, coordination of care, and increasing utilization rates. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. Provider Services - Call NJ FamilyCare at 1-800-701-0710 (TTY 1-800-701-0720) to choose a new Medicaid Managed Care Organization (MCO). *Terms and conditions apply. Your child should have a dental checkup before age 1, or soon after the eruption of their first tooth. The application period to receive help with past due electric and gas bills is closing soon.Check online for your eligibility. 5 verified reviews. Welcome to Aetna Better Health Inc., a New Jersey corporation, d/b/a Aetna Better Health of New Jersey. Click here to let us know so we can fix it. Amerigroup se enorgullece de prestar servicio a los miembros de NJ FamilyCare en New Jersey. Update your contact info. hbbd```b``"H D2Hd0{ *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 Dental Plan welcomes you to ourNew Jersey site. hXn7~7.7p6@7@R;\=R+,/!pHLq&gSf\2,oW-,-tjN) DK&92B2)G(& K&`4. NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. 833-276-0848 (TTY 800-662-1220) endstream endobj 463 0 obj <>>> endobj 464 0 obj <> endobj 465 0 obj <>stream Please contact your provider representative for assistance. 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. Dental Plan click here for plan descriptions. The CDC recommends that patients (including infants 6 months and older, pregnant patients, the elderly, and patients with chronic medical conditions) get the flu vaccine in September or October, at the earliest, to provide protection for the duration of the flu season, which begins in October and ends in May. Amplifon Hearing Health 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. Whether you're a member or provider Amerigroup is here for you. American Eldercare. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. LIBERTY makes certain language assistance services available to you at no cost. 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. LIBERTY makes certain language assistance services available to you at no cost. First Name. Contact LIBERTY Dental Plan at 1-855-225-1727. Find a Dentist - LIBERTY Dental Plan. At Amerigroup Community Care, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. Please We are your accountable partner on the forefront of oral healthcare. 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. 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. contact your provider representative Orders are shipped directly fromcovidtests.gov. Anthem Blue Cross. Click here to request an office transfer. LIBERTY offers dental products for all service lines including large and small Group products. Box 26110 Santa Ana, CA 92799-6110 Phone: (888) 352 - 7924. LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. Until your Medicaid MCO enrollment becomes effective, you can receive your Medicaid benefits through the Medicaid Fee-for-Service program. Outside these hours, you can call us at 1-855-232-3596 (TTY: 711). Well-woman checkups or prenatal care from a women's health doctor (OB/GYN) in our plan. 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. 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. hb```".V!20p` ldHUd`]s t}F$'33;(wogQaLkN04d)Hauetauf`/d~-bl!XL48%Hod:1A+cCL NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. We look forward to working with you to provide quality services to our members. At Amerigroup Community Care, we value you as a provider in our network. LIBERTY Dental Plan is committed to being the industry leader in providing quality, innovative, and affordable dental benefits with the utmost in member satisfaction. The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services Do not feel bad if you fall into this trap. Make sure to complete all recommended treatment. We are committed to ensuring that our members receive necessary preventative and diagnostic treatments on a routine basis, averting costly and damaging episodic treatment. Amerigroup offers health insurance plans for Medicare Advantage, Medigap, Medicare Part D and Medicaid. 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. Medical Policies and Clinical UM Guidelines, Medicare Advantage medical record documentation and coding resources, Early and Periodic Screening, Diagnostic and Treatment. To meet EPSDT dental requirements, a dental visit must occur. P.A 658 Whitehorse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . American Healthcare Alliance. Family planning services from a provider in our plan. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Our philosophy is simple and has remained the same since our inception. Liberty Dental Plan| Find a Dentist Find a Dentist Need a new dental office home? Amerigroup Community Care is an NCQA Accredited Plan in New Jersey. Los beneficios dentales son proporcionados a travs de LIBERTY Dental. 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 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 On September 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. Liberty Dental Plan's online provider portal. You have plenty of company. K2#0'db3sH7c6,"Y1n02+DJ"LH fU, H;#30^0 A Resources that help health care professionals do what they do best care for our members. Did you find information that you think may need to be updated in our provider directories? LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. 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. Liberty Dental Plan. Fee-for-Service (FFS) services that are not covered by Amerigroup. 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 This is a library of the forms most frequently used by health care professionals. Eligibility Verification By phone: 1-888-352-7924 On line: www.libertydentalplan.com Claims To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. You can call Monday through Friday, 8 AM to 8 PM. Results will show both available networks (LIBERTY Dental Plan EPO proprietary network and Guardians nationwide DentalGuard Preferred Select DGPS PPO network). 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. The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more. P.O. He received his bachelor of science in Chemistry and Doctor of Dental Surgery degrees in 2004 and 2008, respectively. Network Managers are assigned regionally and by county, allowing the providers timely and direct access to LIBERTY staff. 888.273.2719. You will be enrolled in the new Medicaid MCO within 1-8 weeks. You do not need a referral for these services: Emergency care. *For some Anthem Medicare Advantage plans, LIBERTY also has an agreement with The Guardian Life Insurance Company of America (Guardian). 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. Well do the same for you. 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. We believe oral health is part of whole body health and well-being and a dental plan should be a partner, putting members at the front and center of all they do, We are pro-efficiency and believe in relieving administrative burden, We believe oral healthcare isnt an industry, its a cause, Quick, easy enrollment and less red tape and bureaucracy allowing you and your office staff to focus on care delivery and growing your business, Relief from the administrative burden of pre-authorizations, Relief from past managed care misconceptions - we do it differently, Caring and personal support staff that answer your calls and resolve 98% of issues within the first call. %%EOF We look forward to working with you to provide quality services to our members. For complete details on the scope of this review, visit. To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. This site has been prepared to assist you and your staff. 5.00. 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. 1.Choose the TYPE of user you would like to create an account for: Dr. Deborah Simmers, DMD. Visit LIBERTY Dental Vision care LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. 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. to be listed in the NJ Smiles Directory. Our ability to provide excellent service to our members is dependent on the quality of our provider network. Give your health the best shot this flu season. 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. 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. to choose Amerigroup as your health plan or visit our How to enroll page. Register today for the Exploring the Intersection of Race and Disability forum hosted for providers on September 21, 2022. Type at least three letters and well start finding suggestions for you. State. Whether you're a member or provider Amerigroup is here for you. 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. 539 0 obj <>stream Type at least three letters and well start finding suggestions for you. Box 26110 Santa Ana, CA 92799-6110 (888) 352-7924 Send an Email LIBERTY Dental Plan welcomes you to our New Jersey site. Hey Amerigroup Community Care members! 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. Amerigroup is a NCQA Accredited health plan in New Jersey. On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. MedZed* provides a valuable service to members enrolled in Amerigroup Community Care. You'll need to show both your Aetna Better Health of New Jersey ID card and NJ FamilyCare card at the visit. Please call LIBERTY Dental toll free at . 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. JhE8uV%VB:KsQ&VRU/dg-{A2*[ZZzEV!,UX!((F!& :VNaT"0Av7 _K(PlPH@0`d*4ojuCge`dh+141)wV@ ZVI 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. Manage your CarelonRx Pharmacy prescriptions, if applicable. 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 We are managed by Dentists and know what is needed to best serve you and protect your oral health. Ayudaremos a que usted y su familia obtengan los beneficios cubiertos que necesita para mantenerse saludable. 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. 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. Start Subscription Examples of Savings Enjoy quality dentistry at a fraction of the price with ProSmile Membership. If you have a NJ FamilyCare C or D plan, you may have to pay a copay at your visit. LIBERTYs service driven focus and timely claims payment has earned it a positive reputation among dental providers. 2023 LIBERTY Dental Plan, All Rights Reserved. Dr. Harrison Rubinstein grew up on eastern Long Island, New York. Learn more about behavioral health resources. You should also schedule a dental exam/checkup soon after you become a member, and twice per year thereafter. LIBERTY makes certain language assistance services available to you at no cost. Amerigroup is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Contact us today if you have questions or need information. P.A 658 White Horse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . Dr. Rubinstein worked as an associate dentist for 5 years. Members should be referred to a dentist for a complete oral evaluation, including appropriate diagnostic and preventive services. 2023 LIBERTY Dental Plan. Members on these plans should still only use this LIBERTY provider finder tool. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. 988 is the new three-digit dialing code for the Suicide and Crisis Lifeline. Amerigroup has partnered with health providers to help those affected by the elevated lead levels in Newark's drinking water. Chat with a live person or send us a secure message. LIBERTYs philosophy of emphasizing preventive care and proactive oral hygiene results in overall cost savings. Medical Policies and Clinical UM Guidelines, Medicare Advantage medical record documentation and coding resources, Early and Periodic Screening, Diagnostic and Treatment, Amerigroup Digital Tools training invitation, AGP Provider Relations appointment verification Letter, Register Today: Continuing to Explore the Intersection of Race and Disability, Join us in talking about racism and its impact on health, Medicare Advantage PN for UM AROW Item 1577, Medicare Advantage PN for UM AROW Item 1330, Medicare Advantage Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology. Please visit Liberty Dental Plan* at www.libertydentalplan.com/AmerigroupNJ, or call 833-276-0854 for dental referrals. That is why we have redesigned the provider site to make it more useful for you and easier to use. We encourage all our moms-to-be to take part in our Taking Care of Baby and Me program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. Search for up-to-date drug information, including hundreds of brand-name and generic medications. Dentist Last Name: Office Name: Please note that * indicates a required field. Click here to let us know so we can fix it. 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. LIBERTY is a different kind of Managed Care plan that is changing the face of oral health. Visit our COVID-19 Resource Center for more information. Request a call back from Member Services. LIBERTY Dental Plan of New Jersey P.O. . 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.. You can also visit the LIBERTY Dental website. TheNational Committee for Quality Assurance (NCQA) evaluates health plans on the quality of care that members receive. American Republic Insurance Company. Learn more on our official site. Looking for a form, but dont see it here? 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 }-+Egqm&!Z@+s2V4v We recognize that Wellness Programs and Disease Management support overall physical and oral health. New Jersey - 1-844-887-6350 . Find learning opportunities to assist with administering your patients health plan using Availity Essentials multi-payer features and payer spaces applications. Para encontrar o cambiar de dentista, llame a LIBERTY Dental al 1 . We're here for you 24 hours a day, 7 days week. 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. In 2014, he relocated to New Jersey and bought his own practice. When speaking with dental offices, please reference the name of both networks (LIBERTY Dental EPO and DentalGuard Preferred Select (DGPS)). These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve. Dental benefits are managed through 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. For assistance with finding a network dentist, please contact Member Services Monday through Friday.
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