New Ambetter Policy/Procedure for Processing Authorization Approval Letters

Date: 09/03/20

Effective October 12, 2020, New Ambetter Policy/Procedure for Processing Authorization Approval Letters

Thank you for your partnership with Ambetter from Magnolia Health. We appreciate your help in achieving our shared goal of delivering quality, accessible and affordable healthcare to our members.

In order to provide the highest quality treatment and encourage appropriate utilization of resources, we are informing you of a new procedure for Ambetter approval letters. Effective October 15, 2020, we will stop sending hard copy or paper notifications for authorization approvals and will start notifying providers of approvals through the Secure Provider Portal.

Hard copies of denial letters will still be mailed to both you and the member. You will be able to view approval or denial status in real time on the portal.

To ensure you can receive approval notifications, you must create a user account and register on our Secure Provider Portal. Instructions on how to create an account and register are enclosed with this letter.

Please don’t hesitate to reach out to our Provider Services team at 1-877-687-1187; Relay 711 with any questions you may have.