*For some Anthem Medicare Advantage plans, LIBERTY also has an agreement with The Guardian Life Insurance Company of America (Guardian). Find learning opportunities to assist with administering your patients health plan using Availity Essentials multi-payer features and payer spaces applications. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. You have plenty of company. You can also visit the LIBERTY Dental website. 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. P.A 658 Whitehorse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . Well-woman checkups or prenatal care from a women's health doctor (OB/GYN) in our plan. 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 462 0 obj <> endobj Learn more on our official site. This is a library of the forms most frequently used by health care professionals. LIBERTY Dental Plan of New Jersey. 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 Outside these hours, you can call us at 1-855-232-3596 (TTY: 711). You can call Monday through Friday, 8 AM to 8 PM. Could not load file or assembly 'System.Web.Helpers, Version=3.0.0.0, Culture=neutral, PublicKeyToken=31bf3856ad364e35' or one of its dependencies. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. American Healthcare Alliance. Box 26110 Santa Ana, CA 92799-6110 (888) 352-7924 Send an Email LIBERTY Dental Plan welcomes you to our New Jersey site. Your child should have a dental checkup before age 1, or soon after the eruption of their first tooth. 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 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. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. Our philosophy is simple and has remained the same since our inception. New Jersey - 1-844-887-6350 . 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. To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. endstream endobj 463 0 obj <>>> endobj 464 0 obj <> endobj 465 0 obj <>stream 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. 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 closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. 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. 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. Were offering more ways to get help. Click here to let us know so we can fix it. Box 26110 Santa Ana, CA 92799-6110 Phone: (888) 352 - 7924. Liberty Dental Plan. 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 Resources that help health care professionals do what they do best care for our members. Start Subscription Examples of Savings Enjoy quality dentistry at a fraction of the price with ProSmile Membership. This site has been prepared to assist you and your staff. hb```".V!20p` ldHUd`]s t}F$'33;(wogQaLkN04d)Hauetauf`/d~-bl!XL48%Hod:1A+cCL %%EOF by AttestHealth Care Advisors, LLC, an NCQA certified audit group. 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. Amida Care. 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 . Dentist. Type at least three letters and well start finding suggestions for you. Update your contact info. LIBERTY makes certain language assistance services available to you at no cost. Welcome to Aetna Better Health Inc., a New Jersey corporation, d/b/a Aetna Better Health of New Jersey. Address (line 1) Address (line 2) City. P.A 658 White Horse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . Be prepared with the knowledge to assist our members. 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. 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 You will be enrolled in the new Medicaid MCO within 1-8 weeks. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. %PDF-1.7 % Dr. Rubinstein joined LIBERTY Dental Plan in 2019 as a Staff Dentist and transitioned to the position of New Jersey Dental Director in 2020. 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. . With access to your secure account, you can: Change your primary care provider. endstream endobj startxref LIBERTY Dental Plan is committed to being the industry leader in providing quality, innovative, and affordable dental benefits with the utmost in member satisfaction. DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. Ayudaremos a que usted y su familia obtengan los beneficios cubiertos que necesita para mantenerse saludable. By joining our network, you are helping us serve those New Jersey residents who need us most. Contact LIBERTY Dental Plan at 1-855-225-1727. The New Jersey Smiles Dental Program requires that children must have an established dental home by the age of 2. Amerigroup se enorgullece de prestar servicio a los miembros de NJ FamilyCare en New Jersey. Amerigroup Community Care is an NCQA Accredited Plan in New Jersey. Need a new dental office home? All Rights Reserved. Amerigroup offers health insurance plans for Medicare Advantage, Medigap, Medicare Part D and Medicaid. If English is not your . LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. Request a call back from Member Services. Anthem Blue Cross. LIBERTYs service driven focus and timely claims payment has earned it a positive reputation among dental providers. Amerigroup NJ Dentist Search; WellCare of NJ Dentist Search; New Jersey Dentist Search; New Jersey Providers; Contact Us; . Liberty Dental: 1-888-352-7924 Dental claim submissions 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. LIBERTY Dental Plan of New Jersey P.O. 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. 5 verified reviews. 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 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. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. Dr. We're here for you 24 hours a day, 7 days week. 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. LIBERTY is a different kind of Managed Care plan that is changing the face of oral health. Members should be referred to a dentist for a complete oral evaluation, including appropriate diagnostic and preventive services. 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. hbbd```b``"H D2Hd0{ Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Make sure to complete all recommended treatment. You do not need a referral for these services: Emergency care. 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. EarlyandPeriodicScreening,DiagnosticandTreatment(EPSDT). Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services Please call LIBERTY Dental toll free at . We are committed to ensuring that our members receive necessary preventative and diagnostic treatments on a routine basis, averting costly and damaging episodic treatment. 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. Click here to request an office transfer. 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. 807 Spring Forest Rd, Ste 600, Raleigh, NC 27609. Dr. Deborah Simmers, DMD. 539 0 obj <>stream He received his bachelor of science in Chemistry and Doctor of Dental Surgery degrees in 2004 and 2008, respectively. Dental Plan click here for plan descriptions. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Amerigroup Community Care is an NCQA Accredited Plan in New Jersey. 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. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Register today for the Exploring the Intersection of Race and Disability forum hosted for providers on September 21, 2022. At Amerigroup Community Care, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. For complete details on the scope of this review, visit. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. Network Managers are assigned regionally and by county, allowing the providers timely and direct access to LIBERTY staff. LIBERTY has extensive experience administering dental benefits, including utilization management, coordination of care, and increasing utilization rates. Until your Medicaid MCO enrollment becomes effective, you can receive your Medicaid benefits through the Medicaid Fee-for-Service program. In 2014, he relocated to New Jersey and bought his own practice. Have questions about COVID-19 vaccines? Members on these plans should still only use this LIBERTY provider finder tool. NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. 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. 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). Looking for a form, but dont see it here? NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. 988 is the new three-digit dialing code for the Suicide and Crisis Lifeline. On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. LIBERTY Dental es un proveedor de la red de Amerigroup para miembros actualmente inscritos en Amerigroup. 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. }-+Egqm&!Z@+s2V4v Results will show both available networks (LIBERTY Dental Plan EPO proprietary network and Guardians nationwide DentalGuard Preferred Select DGPS PPO network). Medical Policies and Clinical UM Guidelines, Medicare Advantage medical record documentation and coding resources, Early and Periodic Screening, Diagnostic and Treatment. 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. Did you find information that you think may need to be updated in our provider directories. LIBERTY Dental Plan (LIBERTY or "LDP") administers the dental benefit for most Anthem Medicare Advantage plans. The NJFC Directory of Dentists Treating Children under the Age of 6, Directory of Dentists Treating Members with Intellectual Disabilities Adult, Directory of Dentists Treating Members with Intellectual Disabilities Child under the Age of 6, Directory of Dentists Treating Members with Intellectual Disabilities Child between the Ages of 7 and 20. To meet EPSDT dental requirements, a dental visit must occur. 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. 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. 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. Please contact your provider representative for assistance. Amita Health. Whether you're a member or provider Amerigroup is here for you. LIBERTYs philosophy of emphasizing preventive care and proactive oral hygiene results in overall cost savings. Did you find information that you think may need to be updated in our provider directories? 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. Whether you're a member or provider Amerigroup is here for you. 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. Create an Account. 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. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. This site has been prepared to assist you and your staff. Our ability to provide excellent service to our members is dependent on the quality of our provider network. 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. 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. Find a Dentist - LIBERTY Dental Plan. Contact us today if you have questions or need information. He then went on to study at a general dentistry practice residency at St. Lukes/Roosevelt Hospital Center. HOME; FAQs; ELIGIBILITY; FIND A DENTIST; CONTACT US; Find a Dentist. to be listed in the NJ Smiles Directory. Dental benefits are managed through 2023 LIBERTY Dental Plan. *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 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. We are managed by Dentists and know what is needed to best serve you and protect your oral health. Click here to let us know so we can fix it. Interested in joining our provider network?
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