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AMERIHEALTH CARITAS
AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services. CAREERS | AMERIHEALTH CARITASMEMBERSSUSPICIOUS EMAIL ALERTOUR MISSIONCOLLEGE INTERNSHIPSOUR STORYCONTACT US Working at AmeriHealth Caritas. Care is at the heart of our work. When you work here, it’s at the heart of your work, too. We live by our mission to help people get care, stay well, and build healthy communities across the country. Join our team and use your talents and passions to give back and make a positive difference in the lives ofour
SIGN IN - AMERIHEALTH CARITAS This page is intended for use by AmeriHealth Caritas partners only. AmeriHealth Caritas Associates will not be able to log in using this page. Please access your site via Citrix. For issues accessing this site, please contact the AmeriHealth Caritas Service Desk at 1-855-547-HELP (4357). User name: Password: Sign me in automatically.COMPANY EXECUTIVES
Steve Bohner Executive Vice President of Health Markets. Steve Bohner is Executive Vice President of Health Markets, a role focused on AmeriHealth Caritas' ongoing success by driving market growth, development, and satisfaction.. He is responsible for overseeing the company's growth, retention, product development, community affairs, and engagement programs for new and existing markets. OUR NATIONAL FOOTPRINT Our National Footprint. We started in Pennsylvania, but over the past 37+ years we've grown to include approximately 4.5 million members in 13 states and the District of Columbia. Explore our service areas and see where we’re building the next generation of managed care. Our plans pride themselves on their accomplishments. PROVIDER CREDENTIALING The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed.AMERIHEALTH CARITAS
The AmeriHealth Caritas Family of Companies (AMFC) is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus pharmacy benefit management, behavioral health, and administrative services. AMERIHEALTH CARITAS OHIO AmeriHealth Caritas Ohio. AmeriHealth Caritas Ohio has been selected by the Ohio Department of Medicaid (ODM) as a managed care organization (MCO) to serve beneficiaries of Ohio’s Medicaid managed care program across all three regions of the state starting in 2022. PCMH4: CARE MANAGEMENT AND SUPPORT PCMH4: Care Management and Support Effective individual and population health management is a core concept of the PCMH model of care. The ability to provide organized, high‐quality care supported by evidence‐based guidelines PCMH1: ENHANCE ACCESS AND COMMUNITY PCMH1: Enhance Access and Community Improved access to team based primary care is a key component of the patient-centered medical homemodel of care.
AMERIHEALTH CARITAS
AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services. CAREERS | AMERIHEALTH CARITASMEMBERSSUSPICIOUS EMAIL ALERTOUR MISSIONCOLLEGE INTERNSHIPSOUR STORYCONTACT US Working at AmeriHealth Caritas. Care is at the heart of our work. When you work here, it’s at the heart of your work, too. We live by our mission to help people get care, stay well, and build healthy communities across the country. Join our team and use your talents and passions to give back and make a positive difference in the lives ofour
SIGN IN - AMERIHEALTH CARITAS This page is intended for use by AmeriHealth Caritas partners only. AmeriHealth Caritas Associates will not be able to log in using this page. Please access your site via Citrix. For issues accessing this site, please contact the AmeriHealth Caritas Service Desk at 1-855-547-HELP (4357). User name: Password: Sign me in automatically.COMPANY EXECUTIVES
Steve Bohner Executive Vice President of Health Markets. Steve Bohner is Executive Vice President of Health Markets, a role focused on AmeriHealth Caritas' ongoing success by driving market growth, development, and satisfaction.. He is responsible for overseeing the company's growth, retention, product development, community affairs, and engagement programs for new and existing markets. OUR NATIONAL FOOTPRINT Our National Footprint. We started in Pennsylvania, but over the past 37+ years we've grown to include approximately 4.5 million members in 13 states and the District of Columbia. Explore our service areas and see where we’re building the next generation of managed care. Our plans pride themselves on their accomplishments. PROVIDER CREDENTIALING The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed.AMERIHEALTH CARITAS
The AmeriHealth Caritas Family of Companies (AMFC) is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus pharmacy benefit management, behavioral health, and administrative services. AMERIHEALTH CARITAS OHIO AmeriHealth Caritas Ohio. AmeriHealth Caritas Ohio has been selected by the Ohio Department of Medicaid (ODM) as a managed care organization (MCO) to serve beneficiaries of Ohio’s Medicaid managed care program across all three regions of the state starting in 2022. PCMH4: CARE MANAGEMENT AND SUPPORT PCMH4: Care Management and Support Effective individual and population health management is a core concept of the PCMH model of care. The ability to provide organized, high‐quality care supported by evidence‐based guidelines PCMH1: ENHANCE ACCESS AND COMMUNITY PCMH1: Enhance Access and Community Improved access to team based primary care is a key component of the patient-centered medical homemodel of care.
COMPANY EXECUTIVES
Steve Bohner Executive Vice President of Health Markets. Steve Bohner is Executive Vice President of Health Markets, a role focused on AmeriHealth Caritas' ongoing success by driving market growth, development, and satisfaction.. He is responsible for overseeing the company's growth, retention, product development, community affairs, and engagement programs for new and existing markets.AMERIHEALTH CARITAS
The AmeriHealth Caritas Family of Companies (AMFC) is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus pharmacy benefit management, behavioral health, and administrative services. LONG-TERM SERVICES AND SUPPORTS AmeriHealth Caritas is committed to helping people with disabilities and people who are aging to live in, participate in, and contribute to their communities. This aligns with our mission to help people get care, stay well, and build healthy communities. We believe that everyone — regardless of age, income, or ability — has the rightto
SUPPLIER REGISTRATION REQUEST One of the biggest challenges we face in helping our members is a shortage of qualified medical professionals. This is a growing concern for both plan and provider, and a serious challenge to our mission to help people get care, stay well, and build healthy communities. 2018 CORPORATE COMPLIANCE PROGRAM AmeriHealth Caritas Corporate Compliance Program. AmeriHealth Caritas Family of Companies 3. 3. Conducting effective training and education. o achieve and ensure compliance with contractual obligations and applicable regulations, AmeriHealth Caritas requires the T AMERIHEALTH CARITAS NEVADA The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed. AMERIHEALTH CARITAS CALIFORNIA The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed. ROADMAP FOR TRANSFORMATION TO PATIENT-CENTERED MEDICAL The 2014 PCMH Standards contain six must-pass elements and you must pass each one in order to receive any level of recognition. Even though only a 50% score is required to pass the must- pass elements, aim higher whenever possible.CPTCODELOOKUPUI
CPT code lookup tool. Enter CPT/HCPCS code Submit SubmitWEB TRANSFER CLIENT
Web Transfer Client. 500. ErrorPage_lbl_FileNotFound. Network Timeout. Could the server be experiencing high demand? Try again later. Is your computer or network protected by a firewall or proxy? Incorrect settings can interfere with Web browsing.AMERIHEALTH CARITAS
AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services. CAREERS | AMERIHEALTH CARITASMEMBERSSUSPICIOUS EMAIL ALERTOUR MISSIONCOLLEGE INTERNSHIPSOUR STORYCONTACT US Working at AmeriHealth Caritas. Care is at the heart of our work. When you work here, it’s at the heart of your work, too. We live by our mission to help people get care, stay well, and build healthy communities across the country. Join our team and use your talents and passions to give back and make a positive difference in the lives ofour
SIGN IN - AMERIHEALTH CARITAS This page is intended for use by AmeriHealth Caritas partners only. AmeriHealth Caritas Associates will not be able to log in using this page. Please access your site via Citrix. For issues accessing this site, please contact the AmeriHealth Caritas Service Desk at 1-855-547-HELP (4357). User name: Password: Sign me in automatically.COMPANY EXECUTIVES
Steve Bohner Executive Vice President of Health Markets. Steve Bohner is Executive Vice President of Health Markets, a role focused on AmeriHealth Caritas' ongoing success by driving market growth, development, and satisfaction.. He is responsible for overseeing the company's growth, retention, product development, community affairs, and engagement programs for new and existing markets. OUR NATIONAL FOOTPRINT Our National Footprint. We started in Pennsylvania, but over the past 37+ years we've grown to include approximately 4.5 million members in 13 states and the District of Columbia. Explore our service areas and see where we’re building the next generation of managed care. Our plans pride themselves on their accomplishments. PROVIDER CREDENTIALING The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed.AMERIHEALTH CARITAS
The AmeriHealth Caritas Family of Companies (AMFC) is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus pharmacy benefit management, behavioral health, and administrative services. AMERIHEALTH CARITAS OHIO AmeriHealth Caritas Ohio. AmeriHealth Caritas Ohio has been selected by the Ohio Department of Medicaid (ODM) as a managed care organization (MCO) to serve beneficiaries of Ohio’s Medicaid managed care program across all three regions of the state starting in 2022. PCMH4: CARE MANAGEMENT AND SUPPORT PCMH4: Care Management and Support Effective individual and population health management is a core concept of the PCMH model of care. The ability to provide organized, high‐quality care supported by evidence‐based guidelines PCMH1: ENHANCE ACCESS AND COMMUNITY PCMH1: Enhance Access and Community Improved access to team based primary care is a key component of the patient-centered medical homemodel of care.
AMERIHEALTH CARITAS
AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services. CAREERS | AMERIHEALTH CARITASMEMBERSSUSPICIOUS EMAIL ALERTOUR MISSIONCOLLEGE INTERNSHIPSOUR STORYCONTACT US Working at AmeriHealth Caritas. Care is at the heart of our work. When you work here, it’s at the heart of your work, too. We live by our mission to help people get care, stay well, and build healthy communities across the country. Join our team and use your talents and passions to give back and make a positive difference in the lives ofour
SIGN IN - AMERIHEALTH CARITAS This page is intended for use by AmeriHealth Caritas partners only. AmeriHealth Caritas Associates will not be able to log in using this page. Please access your site via Citrix. For issues accessing this site, please contact the AmeriHealth Caritas Service Desk at 1-855-547-HELP (4357). User name: Password: Sign me in automatically.COMPANY EXECUTIVES
Steve Bohner Executive Vice President of Health Markets. Steve Bohner is Executive Vice President of Health Markets, a role focused on AmeriHealth Caritas' ongoing success by driving market growth, development, and satisfaction.. He is responsible for overseeing the company's growth, retention, product development, community affairs, and engagement programs for new and existing markets. OUR NATIONAL FOOTPRINT Our National Footprint. We started in Pennsylvania, but over the past 37+ years we've grown to include approximately 4.5 million members in 13 states and the District of Columbia. Explore our service areas and see where we’re building the next generation of managed care. Our plans pride themselves on their accomplishments. PROVIDER CREDENTIALING The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed.AMERIHEALTH CARITAS
The AmeriHealth Caritas Family of Companies (AMFC) is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus pharmacy benefit management, behavioral health, and administrative services. AMERIHEALTH CARITAS OHIO AmeriHealth Caritas Ohio. AmeriHealth Caritas Ohio has been selected by the Ohio Department of Medicaid (ODM) as a managed care organization (MCO) to serve beneficiaries of Ohio’s Medicaid managed care program across all three regions of the state starting in 2022. PCMH4: CARE MANAGEMENT AND SUPPORT PCMH4: Care Management and Support Effective individual and population health management is a core concept of the PCMH model of care. The ability to provide organized, high‐quality care supported by evidence‐based guidelines PCMH1: ENHANCE ACCESS AND COMMUNITY PCMH1: Enhance Access and Community Improved access to team based primary care is a key component of the patient-centered medical homemodel of care.
COMPANY EXECUTIVES
Steve Bohner Executive Vice President of Health Markets. Steve Bohner is Executive Vice President of Health Markets, a role focused on AmeriHealth Caritas' ongoing success by driving market growth, development, and satisfaction.. He is responsible for overseeing the company's growth, retention, product development, community affairs, and engagement programs for new and existing markets.AMERIHEALTH CARITAS
The AmeriHealth Caritas Family of Companies (AMFC) is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus pharmacy benefit management, behavioral health, and administrative services. LONG-TERM SERVICES AND SUPPORTS AmeriHealth Caritas is committed to helping people with disabilities and people who are aging to live in, participate in, and contribute to their communities. This aligns with our mission to help people get care, stay well, and build healthy communities. We believe that everyone — regardless of age, income, or ability — has the rightto
SUPPLIER REGISTRATION REQUEST One of the biggest challenges we face in helping our members is a shortage of qualified medical professionals. This is a growing concern for both plan and provider, and a serious challenge to our mission to help people get care, stay well, and build healthy communities. 2018 CORPORATE COMPLIANCE PROGRAM AmeriHealth Caritas Corporate Compliance Program. AmeriHealth Caritas Family of Companies 3. 3. Conducting effective training and education. o achieve and ensure compliance with contractual obligations and applicable regulations, AmeriHealth Caritas requires the T AMERIHEALTH CARITAS NEVADA The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed. AMERIHEALTH CARITAS CALIFORNIA The criteria, verification methodology and processes used by AmeriHealth Caritas are designed to credential and re-credential practitioners and providers in a non-discriminatory manner, with no attention to race, ethnic/national identity, gender, age, sexual orientation, specialty or procedures performed. ROADMAP FOR TRANSFORMATION TO PATIENT-CENTERED MEDICAL The 2014 PCMH Standards contain six must-pass elements and you must pass each one in order to receive any level of recognition. Even though only a 50% score is required to pass the must- pass elements, aim higher whenever possible.CPTCODELOOKUPUI
CPT code lookup tool. Enter CPT/HCPCS code Submit SubmitWEB TRANSFER CLIENT
Web Transfer Client. 500. ErrorPage_lbl_FileNotFound. Network Timeout. Could the server be experiencing high demand? Try again later. Is your computer or network protected by a firewall or proxy? Incorrect settings can interfere with Web browsing. Skip to Main content AmeriHealth Caritas Family of Companies* OUR STORY
* Our Story
* Our Mission and Vision * Corporate Fact Sheet (PDF)* Our Advantage
* Leaders in Quality Care * Awards and Accreditations * Our National Footprint * Corporate Governance * Corporate Compliance Program (PDF) * Executive Leadership * Diversity and Inclusion * Employee Diversity Improving lives together From the beginning, we've been guided by one philosophy: Help people get care, stay well, and to build healthy communities. Our mission, vision, and grassroots outreach drive our successful care model.Who we serve
* HEALTH CARE SOLUTIONS * Health Care Solutions * Medicaid Managed Care * Medicare / Dual Eligibles * Long-Term Services and Supports (LTSS) * Behavioral Health Care Services* Pharmacy Benefits
Quality services for health plans and states With more than 35 years of experience serving Medicaid and Children's Health Insurance Program (CHIP) populations, we focus on removing barriers to care and getting people the help they need. Contact us for new business and strategic partnerships * BEYOND MANAGED CARE * Beyond Managed Care * Health Outreach Programs * Job Placement and Readiness * Social Determinants of Health* Medicaid Defined
* What is Managed Care? * Addressing the Opioid Crisis * Opioid Outreach and Prevention * Opioid Blueprint (PDF)* Health Equity
Our vision
AmeriHealth Caritas is proud to offer award-winning health plans, but we also work to treat all aspects of our members’ lives. From health outreach to opioid prevention to job training and more, our approach to managed care encompasses the whole person. Take a closer look at our health outreach programs* MEMBERS
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* Become a Provider
* Medical Workforce Shortage * Dental Workforce Shortage Medical Workforce Shortage One of the biggest challenges we face in helping our members is a shortage of qualified medical professionals. Because access to proper care is one of the key aspects of our work, AmeriHealth Caritas is committed to working with both providers and governments to help address this growing crisis. Explore how we're helping * Find a Health Plan* Contact Us
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COVID-19: During the coronavirus outbreak, we support our members, providers, and partners in their work to stay healthy, deliver responsible care, and plan for vaccine access. LEARN MORE ABOUT OUREFFORTS
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MEDICAID DEFINED
Millions of Americans depend on Medicaid for their health care coverage. But exactly how does it work, and who does it cover? The answers might surprise you. Learn how Medicaid works in communities like yours DISPARITIES IN CHILDHOOD OBESITY Almost 22% of children in households with an income below the federal poverty level are obese, and experts say pandemic-related isolation could worsen the situation for children who are already dealing withhealth disparities.
Read the article from our publication, _In Reach_ _“It calls upon us never to be indifferent toward despair. It commands us never to turn away from helplessness. It directs us never to ignore or to spurn those who suffer untended in a land that is bursting with abundance.”_ —President Lyndon B. Johnson, upon signing Medicaid into law, July30, 1965
SUPPORTING DIVERSE BUSINESSES AND SUPPLIERS We’re invested in the multicultural communities our members call home. That’s why we actively promote and partner with small, women-, and minority-owned businesses, and have increased our procurement from these businesses by 87 percent since 2013. Learn more about our commitment to supplier diversity ADDRESSING SOCIAL DETERMINANTS OF HEALTH 80 to 90 percent of our health is tied to factors other than health care, according to the National Academy of Medicine. Known as the social determinants of health, these factors include access to healthy food, proper care, safe housing, and community supports. See how we're bridging the gaps of health disparities SERVING THE UNDERSERVED For nearly 40 years, AmeriHealth Caritas has helped Americans nationwide get care, stay well, and build healthy communities. We’ve lived the ideals set forth by President Johnson when he signed Medicaid into law, and we’re continuing to grow and bring our successful model of care to more people across the country.Work with us
INTEGRATED HEALTH CARE SOLUTIONS Let our Next Generation Model of Care help your community grow even stronger and healthier. From Medicaid to behavioral health and more, our award-winning health care plans are person-centered and prioritizehealthy outcomes.
MEDICAID MANAGED CARE We’re the experts in treating America’s chronically ill and low-income populations. With our Medicaid managed care health plans, you can provide innovative, cost-effective care to the people in your community who need it most. Learn more about our Medicaid managed care solutions → MEDICARE AND DUAL ELIGIBLE PLANS Older residents in your communities deserve the best care possible. That’s why we provide solutions for dual-eligible members who qualify for both Medicaid and Medicare. These proven programs offer supplemental benefits, preventative services, and improved carecoordination.
Learn more about our Medicare and dual-eligible solutions → BEHAVIORAL HEALTH CARE Mental health is a crucial part of a person’s well-being. Through PerformCare®, our full-service behavioral managed health care company, we can provide you with innovative, confidential, and customizable behavioral health plans and substance abuse support foryour community.
Learn more about our behavioral health solutions → LONG-TERM SERVICES AND SUPPORTS (LTSS) Many people, from the elderly to people with disabilities, need help with everyday tasks like bathing, dressing, eating, taking medications, and more. Our effective, comprehensive LTSS provides compassionate care to your most vulnerable citizens. Learn more about our LTSS solutions → PHARMACY BENEFITS MANAGEMENT We offer innovative, cost-effective pharmacy benefit services for Medicaid, Medicare, and commercial health plans. We can exceed your needs with customized solutions, ranging from specialized, a la carte options to comprehensive pharmacy benefits management. Learn more about our pharmacy solutions → Projected savings in Pennsylvania through 2020$0.0 billion
According to Lewin Group report MANAGED CARE THAT WORKS All of the extra attention, benefits, and programs we offer our members may sound costly. But it’s a fact: Our approach maximizes cost savings for state and federal policymakers while delivering the quality care people deserve. Put our solutions to work in your community A LEGACY OF PUTTING THE COMMUNITY FIRST Care Crew, our employee volunteer program, is the fulfillment of our promise to care for the communities where our members live. Our associates show such a passion for helping the underserved that they inspired us to track their hours in the field and measure them against our business goals every year. See the Care Crew in actionX
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