Provider Quick Alert

December 17, 2019
QualChoice Individual Plans Moving
Starting January 1, 2020, QualChoice  individual plans only will be administered by Ambetter from Arkansas Health & Wellness. This includes:
  • Arkansas Works plans
  • Health Insurance Marketplace (Healthcare.gov) plans
Claims for these members should be sent to Ambetter starting January 1.
QualChoice members on commercial employer group plans are not affected by this transition.

For information about services dated before 1/1, use your  My Account portal at QualChoice.com. For information about services dated on or after 1/1, please use the Ambetter secure provider portal .

Pre-authorization requests for 2020 dates of service for members on these plans are being transferred to Ambetter. For outpatient services spanning December into January, QualChoice will authorize through 12/31/19, then transfer to Ambetter for pre-authorization going forward. 
1912 MK 004