Services for Health Care Professionals
Provider Services Representatives are available to assist providers with billing, claims payment issues, and other information every business day, 9 am to 5 pm, at 1-800-556-0674.
Important: Mandatory Compliance Program Certification
As per the Office of Medicaid Inspector General (OMIG) requirement, Medicaid providers are subject to a mandatory compliance program annual certification that expires 12/31/2019. Providers subject to the Deficit Reduction Act of 2005 must also complete their DRA Annual Certification by this deadline.
Below is the link for this information:
SSL and DRA certification information, instructions, and required certification forms are available on OMIG’s website at: https://omig.ny.gov/compliance#ComplianceHome3.
Once you have completed your certification, kindly provide Amida Care a copy of your notice of certification via email to Provider Services (email@example.com).
Amida Care now offers a viral load suppression member incentive program, Live Your Life Undetectable. The program provides your patients who are enrolled with Amida Care with a financial incentive of $100 for each quarter (three-month period) of demonstrated viral load suppression (<200 copies/ml) along with their participation in supportive services like case management or other provider-recommended medication adherence supports.
We greatly value and appreciate your partnership and alignment with our goal of improved patient health. For more details, please see the Live Your Life Undetectable tab at the top of the Provider Resources page.
Beacon New Mailing Address
Effective immediately, Beacon Health Options, Amida Care’s behavioral health service provider, has established a new mailing address for claims submission and correspondence. Please review the attached document for your reference. If you have any questions or concerns, please contact Provider Services at 1-800-556-0674.
Provider Portal Offers Quick, Easy Access to Patient Information
Amida Care Online is a secure electronic portal developed specifically for you, our providers. This state-of-the-art tool enables you to gain immediate access to real-time data about claims, authorization status, member eligibility, and other patient information.
To register for the portal, please call 1-800-556-0674 for support.
Keep Your Provider Information Current
It’s Important for You, Your Patients, and Us
Amida Care strives to go above and beyond for our clinicians and our members.
Please assist us by ensuring that provider addresses, phone numbers, specialties, and office hours are current. This is key to the accuracy of the Amida Care Provider Directory.
You may verify your provider demographic information by clicking on Find a Provider or by calling us at 1-800-556-0674
Provider file updates can be made via phone, by emailing us or by faxing 646-786-1803.
Amida Care values your participation and commitment to our members.
Electronic Claims Submission
Amida Care encourages our providers to file claims electronically. Submit institutional and professional claims through Electronic Data Interchange (EDI) using the Emdeon clearinghouse. If you are a provider who does not have claims submission software, you can sign up for a free account with MD-Online to begin filing your claims electronically.