Providers & Partners
The first thing physicians discover about Liberty Medicare Advantage is that we are in a unique position to form lasting partnerships with our physician community. Our goal is to work together for the overall health and well fare of our members, your patients.
Our members become part of our care team that uses the “whole person” approach to health care. We believe you are the key to making this program a success and offer options such as: Remote Patient Monitoring (RPM) and provide you with key health data that assists in making our patients lives easier, Personal Care Devices that will alert the necessary parties if one of our patients has a fall and our care team.
We believe in providing our Members exceptional benefits and an abundance of attention. And, we believe Liberty Medicare Advantage providers deserve the same.
Below are links to our product offerings which consist of three plans:
- Liberty Medicare Advantage Nursing Home Plan (I-SNP) focus on our institutional Special Needs members.
- Liberty Medicare Advantage Plan (C-SNP) is available for members who have Diabetes, Chronic Heart Failure or Cardiovascular Disorders.
- Liberty Medicare Advantage Dual Plan (D-SNP) is available for individuals who are entitled to both Medicare and medical assistance from North Carolina Medicaid.
Liberty Medicare Advantage firmly believes that our success as a health plan hinges on our participating providers. And we are committed to simplifying the administration of health insurance so our providers can devote their attention to providing high-quality health care.
We are always available if questions arise, and we collaborate with our providers to help ensure the efficient delivery of superior care to our members.
For ease of processing payment, electronic claims are preferred; however, if you are unable to send us a claim electronically, please mail it to:
Liberty Medicare Advantage
PO Box 3325
Spring Hill, FL 34611
Key Contacts at Liberty Medicare Advantage:
Department | Phone Number | Fax | |
---|---|---|---|
Provider and Member Services | 1-844-854-6884 | 1-877-760-3730 | LibertyProviderIVR@mirrahealthcare.com |
Utilization Management | 1-353-691-1506 | 1-877-760-3820 | UM@LibertyMedicareAdvantage.com |
Appeals/Grievances & Complaints | 1-844-854-6884 | 1-877-760-3810 | LibertyMemberIVR@mirrahealthcare.com |
Enrollment | 1-844-854-6884 | 1-877-760-3620 | Enrollment@LibertyMedicareAdvantage.com |
Compliance | 1-866-300-4874 | Compliance1@libertyadvantageplan.com | |
Credentialing and Contracting | Credentialing@LibertyMedicareAdvantage.com |
For Prescribers & Pharmacies
Liberty Medicare Advantage provides Medicare Part D prescription drug coverage through our partner Navitus Health Solutions.
Navitus Health Solutions is a full-service pharmacy benefit management company committed to lowering drug costs, improving health, and providing superior customer service in a manner that instills trust and confidence.
For Prescribers:
How to access Formulary and Prior Authorization Forms using the Navitus Member Portal
- Select “Prescribers” and click on “Prior Authorization”
- Enter your NPI number and State to access the prescriber portal
- Navitus Health Solutions Pharmacy Helpdesk
- Phone number 1-866-270-3877
- TTY phone number: 711
- Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria
For Pharmacies:
How to access payer sheets and other information using the Navitus Member Portal
- Select “Pharmacies” and click “Pharmacies Login”
- Enter your NPI number and NCPDP number to access the pharmacy portal
- Navitus Health Solutions Pharmacy Helpdesk
- Phone number 1-866-270-3877
- TTY phone number: 711
- Refer to the Prescription Drug Benefit page for formulary, prior authorization criteria, and step therapy criteria
Preferred Vendors for Diabetic Supplies:
- Abbott Products
- FreeStyle Lite® Meter
- FreeStyle Freedom Lite® Meter
- Precision Xtra® Meter
- Precision Xtra® Blood Glucose Test Strips
- FreeStyle Lite® Blood Glucose Test Strips *compatible with either Lite Meter*
- LifeScan Products
- OneTouch Ultra2® Glucose System
- OneTouch Ultra Mini® Meter
- OneTouch Verio Flex® Meter
- OneTouch Verio IQ® Meter
- OneTouch Ultra® Test Strips
- OneTouch Verio® Test Strip
Our Model Of Care Philosophy
Our model organizes best practices and industry innovations including:
- The Advanced Nurse Practitioner (ANP) or Case Manager partnering with member’s physician, provides the necessary support our members require based on their individual situation.
- A risk-assessment tool designed to access the health conditions of our population;
- A comprehensive history and physical assessment that generates an Individualized Care Plan (ICP);
- A care management platform that helps identify needed preventative health/HEDIS services, ensures the use of evidence-based clinical guidelines, and facilitates communications for care coordination.
- Frequent face-to-face Member and caregiver/family member interactions that identify Member care preferences and allow time for important care decision discussions and counseling.
It is important that all of our Providers are properly trained and informed about the Liberty Medicare Advantage Model of Care.
Our top priority is making sure all of the providers in the Liberty Medicare Advantage network meet the training and education needs of our institutional Medicare beneficiary population. The purpose of the Model of Care Training is to comply with the statutory requirement of the Centers for Medicare and Medicaid Services (CMS) that all Special Needs Plans provide a general understanding of the requirements of the Model of Care.
In addition, this will also help you to seamlessly serve Liberty Medicare Advantage Members, your patients.
Become a Liberty Medicare Advantage Network Provider
Liberty Medicare Advantage contracts with physicians, facilities and other allied providers to ensure we have an adequate provider network which is essential for the delivery of health care services to our members. All providers must be credentialed before they can be added to our network as a participating provider.
Why partner with Liberty Medicare Advantage:
- From the beginning, physicians discover that Liberty Medicare Advantage isn’t just another Medicare Advantage health plan.
- We have a different philosophy, attitude and approach to caring for our Members.
- Our emphasis is on encouraging proactive health care and offering programs and services that can make a difference in our Members/your patients’ quality of life.
- We believe in providing our Members exceptional benefits and an abundance of attention.
- And we believe Liberty Medicare Advantage providers deserve the same.
For more information on becoming a Liberty Medicare Advantage contracted provider, please contact Network Operations at 1-844-854-6884 (TTY 711) or via email at Credentialing@LibertyMedicareAdvantage.com.