Stay informed activate your online account. Start Subscription Examples of Savings Enjoy quality dentistry at a fraction of the price with ProSmile Membership. 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.. He attended SUNY-Stony Brook for his undergraduate and dental medicine studies. Since 1996, weve been providing New Jersey families with access to great health care. LIBERTY makes certain language assistance services available to you at no cost. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Did you find information that you think may need to be updated in our provider directories. American Maritime Officers Plans. 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. 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. DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. hXn7~7.7p6@7@R;\=R+,/!pHLq&gSf\2,oW-,-tjN) DK&92B2)G(& K&`4. Members on these plans should still only use this LIBERTY provider finder tool. He then went on to study at a general dentistry practice residency at St. Lukes/Roosevelt Hospital Center. Amerigroup has partnered with health providers to help those affected by the elevated lead levels in Newark's drinking water. 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. 462 0 obj <> endobj Ayudaremos a que usted y su familia obtengan los beneficios cubiertos que necesita para mantenerse saludable. We look forward to working with you to provide quality services to our members. And your provider may need prior approval . Did you find information that you think may need to be updated in our provider directories? Dental care We work with LIBERTY Dental to manage your dental benefits. HOME; FAQs; ELIGIBILITY; FIND A DENTIST; CONTACT US; Find a Dentist. 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 5 verified reviews. Anthem Blue Cross. 9l{WN3\+?_Su[R4goT^Q NX1i55 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). Whether you're a member or provider Amerigroup is here for you. To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. 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 We don't cover them, but NJ FamilyCare pays for them directly. To meet EPSDT dental requirements, a dental visit must occur. 56.5 mi. LIBERTY Dental Plan welcomes you to ourNew Jersey site. Dentist Last Name: Office Name: Please note that * indicates a required field. Dentist. Visitsave around to get yours today! - Call NJ FamilyCare at 1-800-701-0710 (TTY 1-800-701-0720) to choose a new Medicaid Managed Care Organization (MCO). 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 should also schedule a dental exam/checkup soon after you become a member, and twice per year thereafter. New Jersey - 1-844-887-6350 . That is why we have redesigned the provider site to make it more useful for you and easier to use. Liberty Dental Plan| Find a Dentist Find a Dentist Need a new dental office home? 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. You can also visit the LIBERTY Dental website. These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve. Liberty Dental Plan. LIBERTY Dental Plan is committed to being the industry leader in providing quality, innovative, and affordable dental benefits with the utmost in member satisfaction. Request an Office Transfer. Box 26110 Santa Ana, CA 92799-6110 (888) 352-7924 Send an Email LIBERTY Dental Plan welcomes you to our New Jersey site. Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. for assistance. LIBERTYs service driven focus and timely claims payment has earned it a positive reputation among dental providers. Liberty Dental Plan's online provider portal. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. 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. The application period to receive help with past due electric and gas bills is closing soon.Check online for your eligibility. Have questions about COVID-19 vaccines? 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 . Auto-assign the closest participating dentist for all subscribers . *For some Anthem Medicare Advantage plans, LIBERTY also has an agreement with The Guardian Life Insurance Company of America (Guardian). 888.273.2719. . We look forward to working with you to provide quality services to our members. %PDF-1.7 % Type at least three letters and well start finding suggestions for you. He received his bachelor of science in Chemistry and Doctor of Dental Surgery degrees in 2004 and 2008, respectively. Find learning opportunities to assist with administering your patients health plan using Availity Essentials multi-payer features and payer spaces applications. 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. First Name. We are managed by Dentists and know what is needed to best serve you and protect your oral health. LIBERTY Dental es un proveedor de la red de Amerigroup para miembros actualmente inscritos en Amerigroup. 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. In 2014, he relocated to New Jersey and bought his own practice. 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. We excel at staying on the forefront of development and implementation of such programs. LIBERTY makes certain language assistance services available to you at no cost. 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 by AttestHealth Care Advisors, LLC, an NCQA certified audit group. 833-276-0848 (TTY 800-662-1220) 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. 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. LIBERTYs philosophy of emphasizing preventive care and proactive oral hygiene results in overall cost savings. Need a new dental office home? Amerigroup offers health insurance plans for Medicare Advantage, Medigap, Medicare Part D and Medicaid. 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. We are committed to ensuring that our members receive necessary preventative and diagnostic treatments on a routine basis, averting costly and damaging episodic treatment. Interested in joining our provider network? Amplifon Hearing Health Care. 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. 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. Find a plan pharmacynear you. LIBERTY has extensive experience administering dental benefits, including utilization management, coordination of care, and increasing utilization rates. LIBERTY offers dental products for all service lines including large and small Group products. This site has been prepared to assist you and your staff. Amida Care. Hey Amerigroup Community Care members! Just call 1-800-701-0710 (TTY: 1-800-701-0720). 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. *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 Call 1-800-600-4441 (TTY 711) anytime, day or night, even on weekends and holidays. On September 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. At Amerigroup Community Care, we value you as a provider in our network. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. 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. Contact us today if you have questions or need information. Amita Health. The New Jersey Smiles Dental Program requires that children must have an established dental home by the age of 2. 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. Click here to request an office transfer. 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 Well-woman checkups or prenatal care from a women's health doctor (OB/GYN) in our plan. Fee-for-Service (FFS) services that are not covered by Amerigroup. We look forward to working with you to provide quality services to our members. Last Name. Create an Account. Our philosophy is simple and has remained the same since our inception. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Amerigroup is a NCQA Accredited health plan in New Jersey. 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. Dr. Rubinstein worked as an associate dentist for 5 years. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. American Healthcare Alliance. Welcome to Aetna Better Health Inc., a New Jersey corporation, d/b/a Aetna Better Health of New Jersey. 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. Visit LIBERTY Dental Vision care All services must be medically necessary. State. 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. You will be enrolled in the new Medicaid MCO within 1-8 weeks. 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 Plan click here for plan descriptions. Request a call back from Member Services. Amerigroup is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners. Chat with a live person or send us a secure message. Click here to request an office transfer. contact your provider representative Our ability to provide excellent service to our members is dependent on the quality of our provider network. Type at least three letters and well start finding suggestions for you. Make sure to complete all recommended treatment. Looking for a form, but dont see it here? This site has been prepared to assist you and your staff. 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. 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. We recognize that Wellness Programs and Disease Management support overall physical and oral health. Amerigroup NJ Dentist Search; WellCare of NJ Dentist Search; New Jersey Dentist Search; New Jersey Providers; Contact Us; . American Republic Insurance Company. To schedule a screening or for more information, call us at 1-877-453-4080 (TTY 711), and press 1. Dr. Deborah Simmers, DMD. You can call Monday through Friday, 8 AM to 8 PM. 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. EarlyandPeriodicScreening,DiagnosticandTreatment(EPSDT). NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. Family planning services from a provider in our plan. Amerigroup se enorgullece de prestar servicio a los miembros de NJ FamilyCare en New Jersey. MedZed* provides a valuable service to members enrolled in Amerigroup Community Care. 2023 LIBERTY Dental Plan, All Rights Reserved. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. Learn more about behavioral health resources. Download the Sydney Health mobile app from your app store and log in using the same Amerigroup username and password. 5.00. Your child should have a dental checkup before age 1, or soon after the eruption of their first tooth. Network Managers are assigned regionally and by county, allowing the providers timely and direct access to LIBERTY staff. LIBERTY Dental Plan of New Jersey P.O. 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. 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. 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. LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. 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. 988 is the new three-digit dialing code for the Suicide and Crisis Lifeline. Manage your CarelonRx Pharmacy prescriptions, if applicable. View or print your member ID card. For complete details on the scope of this review, visit. 1.Choose the TYPE of user you would like to create an account for: endstream endobj startxref Availity, LLC is an independent company providing administrative support services on behalf of Amerigroup Community Care. We are your accountable partner on the forefront of oral healthcare. 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. Please visit Liberty Dental Plan* at www.libertydentalplan.com/AmerigroupNJ, or call 833-276-0854 for dental referrals. Please refer to your Evidence of Coverage for information on your Liberty Dental member cost-sharing and benefits. Visit our COVID-19 Resource Center for more information. LIBERTY Dental Plan (LIBERTY or "LDP") administers the dental benefit for most Anthem Medicare Advantage plans. NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. 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. Were offering more ways to get help. TheNational Committee for Quality Assurance (NCQA) evaluates health plans on the quality of care that members receive. 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. For assistance with finding a network dentist, please contact Member Services Monday through Friday. Please call LIBERTY Dental toll free at . Provider Services by AttestHealth Care Advisors, LLC, an NCQA certified audit group. Type at least three letters and well start finding suggestions for you. Learn more on our official site. You have plenty of company. 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. )v}y?fvks?8,tb}v Be prepared with the knowledge to assist our members. }-+Egqm&!Z@+s2V4v If English is not your . Resources that help health care professionals do what they do best care for our members. Dr. %%EOF Eligibility Verification By phone: 1-888-352-7924 On line: www.libertydentalplan.com Claims Members should be referred to a dentist for a complete oral evaluation, including appropriate diagnostic and preventive services. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. 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. LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. hb```".V!20p` ldHUd`]s t}F$'33;(wogQaLkN04d)Hauetauf`/d~-bl!XL48%Hod:1A+cCL The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Medical Policies and Clinical UM Guidelines, Medicare Advantage medical record documentation and coding resources, Early and Periodic Screening, Diagnostic and Treatment. Give your health the best shot this flu season. Amerigroup has partnered with health providers to help those affected by the elevated lead levels in Newarks drinking water. . Click here to let us know so we can fix it. When speaking with dental offices, please reference the name of both networks (LIBERTY Dental EPO and DentalGuard Preferred Select (DGPS)). *Terms and conditions apply. 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. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. * We will have guest speaker Karen Mulcahy to discuss Availity attachments and dispute process using Claim Status. LIBERTY makes certain language assistance services available to you at no cost. 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. P.A 658 Whitehorse Pike Absecon, NJ 08201 www.abseconfamilydental.com (609) 677-5155 Fax: (609) 677-5133 Special Needs: Yes English . Update your contact info. K2#0'db3sH7c6,"Y1n02+DJ"LH fU, H;#30^0 A Los beneficios dentales son proporcionados a travs de LIBERTY Dental. At Amerigroup Community Care, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. 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. 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. Orders are shipped directly fromcovidtests.gov. Contact LIBERTY Dental Plan at 1-855-225-1727. Dr. Harrison Rubinstein grew up on eastern Long Island, New York. LIBERTY makes certain language assistance services available to you at no cost. American Eldercare. In collaboration with the Care Management team of Amerigroup, MedZed provides the following services for designated Amerigroup members during enrollment to the MedZed Program. 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 hbbd```b``"H D2Hd0{ LIBERTY Dental Plan of New Jersey. 2023 LIBERTY Dental Plan, All Rights Reserved. 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. 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. Results will show both available networks (LIBERTY Dental Plan EPO proprietary network and Guardians nationwide DentalGuard Preferred Select DGPS PPO network). Please contact your provider representative for assistance. By joining our network, you are helping us serve those New Jersey residents who need us most. 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 know that our New Jersey members can now get a special coupon book filled with savings? Dental care from a LIBERTY Dental plan dentist. 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 On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes. Outside these hours, you can call us at 1-855-232-3596 (TTY: 711). 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. Well do the same for you. 539 0 obj <>stream Click here to let us know so we can fix it. Box 26110 Santa Ana, CA 92799-6110 Phone: (888) 352 - 7924. You'll need to show both your Aetna Better Health of New Jersey ID card and NJ FamilyCare card at the visit. 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. 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.