Referrals No Longer Required for Ambetter Virtual Access - Effective Immediately!

Date: 05/25/23

Ambetter Virtual Access Referral Changes

Effective immediately, Ambetter Virtual Access no longer requires referrals for services. However, please note that all prior authorization requirements for services, including elective procedures and durable medical equipment, remain unchanged.

As we work on operationalizing this change, we will begin reprocessing claims back to January 1, 2023, that have denied for the referral requirement.

We want to thank you for being a part of the Ambetter network and providing exceptional care to our members. We appreciate your continued partnership as we work together to improve healthcare access and outcomes for all.

If you have questions on a specific claim or in general, please use this contact form.

If you have questions about this bulletin or other provider resources, please call Provider Services at 1-844-518-9505 (TTY 711).