Providers must use participating Magnolia Health Plan facilities and receive authorization for the facility from Magnolia Health Plan. How to Register. HEALTH PLAN INFORMATION Health Plan address Magnolia Health Plan 111 East Capitol Suite 500 Jackson, MS 39201 Phone Numbers Phone TTY/TDD 1-877 -687 -1184 1-877 -941 -9235 Department Phone Fax Provider Services 1-877 -687 -1187 Member Services 1-877 -687 -1187 Medical Management Inpatient and Outpatient Prior Authorization As a combined PBM and specialty drug management solution that is integrated across the medical and pharmacy benefit, we customize and constantly innovate for our plan sponsor partners and deliver personal, caring service for their members. REGULATORY MATTERS 95. The Formulary, pharmacy network, and/or provider network may change at any time. Enrollment in Allwell depends on contract renewal. Department Phone . You will receive notice when necessary. Please click the button to learn how to register. Our team provides mostly clinical, provider-focused education on topics that are geared towards improving member outcomes. Qualified Health Plan (QHP) Enrollee Survey 93 Provider Performance Monitoring and Incentive Programs 93. Ambetter from Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Magnolia Health offers trainings for both behavioral health and physical health providers in our network at no cost. Please contact the plan for further details. PROVIDER CLAIM DISPUTE FORM Use this form as part of the Magnolia Health Plan of Mississippi Claim Dispute process to dispute the decision made during the request for reconsideration process. Ambetter network providers are important to us, because our members rely on you for quality care. Learn more. Provider Registration Video Provider Registration PDF. 1-877-941-9235 : 5 October 19, 2016 HEALTH PLAN INFORMATION . Providers can choose a level of network participation based on their individual office needs. Magnolia Health’s managed care model for dental services maintains a fee-for-service payment arrangement, so individual dental offices have less financial risk than a capitated model. Welcome to Ambetter from Magnolia Health (“Ambetter”). If denied, please refer to your Provider Manual or call (800) 465-6972 to be informed of your appeal rights. The Claim Dispute must be submitted within 45 calendar days of the date on the determination letter or EOP from your original request for reconsideration. Every year, Medicare evaluates plans based on a 5-star rating system. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Our registration process is quick and simple. Offer Details: HOW TO USE THIS PROVIDER MANUAL Health Plan address Ambetter from Magnolia Health 111 East Capitol Suite 500 Jackson, MS 39201 Phone Numbers Phone TTY/TDD 1-877-687-1187 . Allwell is contracted with Medicare for HMO, HMO SNP and PPO plans and with local state Medicaid programs. 550 High Street, Suite 1000 Jackson, Mississippi 39201 Toll-free: 800-421-2408 Phone: 601-359-6050