Jan 1, 2024 · If you are interested in learning more about Superior HealthPlan's QI Program, please contact Superior HealthPlan at 1-800-218-7453, ext. 82674 and ask to speak with the Quality Improvement Department. Superior is dedicated to the provision of a well-designed and well-implemented Quality Assessment and Performance Improvement (QAPI) Program. Test. Test Page January 1, 2024. STAR Health Trauma-Informed Care Alternative Payment Model. ACTION REQUIRED: Rate Enhancement. Effective August 1, 2023: Pharmacy and Biopharmacy Policies. Medicaid Inpatient Hospital Spell of Illness Policy Extension for COVID-19 Ending. Superior HealthPlan, Pro Football Hall of Famer …Superior HealthPlan wants to help you get well and stay well. That’s why it’s important to know how and when you need to complete your Texas Medicaid renewal to ensure continued coverage. Below are some common questions about the renewal process and a list of resources that are available to help you get the care you need.We are here to ensure you have everything you need to know about your Texas Medicaid Plan and CHIP benefits, services, co-pays and more. Superior HealthPlan provides benefits and services for Medicaid, CHIP, and health insurance in Texas. In this section, you can learn about the Texas Medicaid benefits, pharmacy services and value- added ...Superior HealthPlan ATTN: Compliance Department 5900 E. Ben White Blvd. Austin, TX 78741. Fax: 1-833-205-1935. PLEASE READ THE INSTRUCTIONS CAREFULLY AND COMPLETE THE FORM BELOW. INCOMPLETE FORMS CANNOT BE ACCEPTED. 1. MEMBER INFORMATION: Member Name * Error: Field Required. …We want you to stay healthy and get the care you need. The Care Management program can help identify resources and services to help you get well and stay well. To contact us, call 1-800-783-5386 between 8am – 5pm Monday through Friday. Nurses are available 24 hours a day, 7 days a week.Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Credentialing The following Behavioral Health Credentialing forms can be found on Superior's Provider Forms webpage , under the Credentialing section.An expedited appeal is when Superior HealthPlan has to make a decision quickly based on the condition of your health, and taking the time for a standard appeal could jeopardize your life or health. Expedited appeals are available for a denial of emergency care, denial of a continued hospitalization, and denial of prescription drugs or ...Jan 1, 2024 · 11/17/23. Superior HealthPlan will require prior authorization for certain genetic testing for Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP) and Marketplace (Ambetter from Superior HealthPlan) members. Prior authorization requests should be submitted to National Imaging Associates, Inc. (NIA). Jan 1, 2024 · Texas STAR+PLUS. Superior HealthPlan proudly offers STAR+PLUS, a Medicaid managed care program serving low-income individuals who have physical or mental disabilities or who are elderly. The STAR+PLUS plan has been designed to meet the unique needs of these specialized members. Superior makes sure that you receive the care you need. Superior HealthPlan is proud to partner with doctors in your area. Find your doctor from our list of network providers. *Restrictions and limitations apply. These services are effective 9/1/23-8/31/24. **CHIP, STAR, STAR+PLUS members can earn up to $150 in rewards. STAR Kids members can earn up to $100 in rewards.Ambetter from Superior HealthPlan— your partner for success. Ambetter from Superior HealthPlan is Centene Corporation ‘s Health Insurance Marketplace product. Ambetter Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare ...You can also call Superior Member Services at 1-877-277-9772, and get their name and phone number. Where Can I Find a List of Nursing Facilities? To find a nursing facility close to you, look through the provider directory or call Member Services at 1-877-277-9772 .02/02/24. The Texas Health and Human Services Commission (HHSC), published the semi-annual update of the Texas Medicaid Preferred Drug List (PDF) on Thursday January 25, 2024. The update is based on changes presented at the Vendor Drug Program (VDP) Drug Utilization Review (DUR) Board meeting in October 2023.Emergency Room (ER) For more information on Where to go for Care, please review the flyer below: Where to go for Care. Superior HealthPlan encourages members to learn all the options of where they can get the care needed as many are surprised to learn that it is not always the ER. Get informed on all the places you can get …Jan 1, 2024 · This means that Superior will help with health care and behavioral and social needs. For more information on the STAR Health program and to learn more about the services, please call Superior HealthPlan’s Member Services at 1-866-912-6283 or visit the STAR Health website. You can also find more information in the STAR Health handbook. HEDIS® is a set of standardized performance measures developed and updated annually by the National Committee for Quality Assurance (NCQA) which allows comparison across health plans. Through HEDIS®, NCQA holds Superior HealthPlan accountable for the timeliness and quality of health-care services (acute, preventive, mental health, etc ...Jan 1, 2024 · Texas STAR+PLUS. Superior HealthPlan proudly offers STAR+PLUS, a Medicaid managed care program serving low-income individuals who have physical or mental disabilities or who are elderly. The STAR+PLUS plan has been designed to meet the unique needs of these specialized members. Superior makes sure that you receive the care you need. Use your 1095-A to file Form 8962 with your tax return. These two forms will determine the amount of your tax credit. If you file a paper return, you can get Form 8962. Using these two forms to file your taxes correctly and on time is very important! If you don't, you may lose your tax credit, resulting in higher premiums and possible loss of ...To submit a prior authorization Login Here. To access prior authorization lists, please visit Superior’s Prior Authorization Requirements webpage. To access Superior clinical and payment policies, visit Clinical & Payment Polices . Find out if you need a Medicare pre-authorization with Superior HealthPlan's easy Pre Auth Needed Tool.Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both …Nov 15, 2019 ... Don't miss out on free money! The Superior HealthPlan Texas Medicaid program makes it easy for you to earn extra money. You can earn extra ...Test Page January 1, 2024. STAR Health Trauma-Informed Care Alternative Payment Model. ACTION REQUIRED: Rate Enhancement. Effective August 1, 2023: Pharmacy and Biopharmacy Policies. Medicaid Inpatient Hospital Spell of Illness Policy Extension for COVID-19 Ending. Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help …You can also call Superior Member Services at 1-877-277-9772, and get their name and phone number. Where Can I Find a List of Nursing Facilities? To find a nursing facility close to you, look through the provider directory or call Member Services at 1-877-277-9772 .Value-added Services; Benefit Description; 24-Hour Nurse Advice Line: Access to Superior’s 24-hour nurse advice line. Call 1-800-783-5386 to contact a registered nurse for health questions 24 hours a day, 7 days a week.: My Health Pays ® Rewards Program: Superior’s rewards program offers financial, non-cash incentives that reward …Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan …Jan 1, 2024 · serviceQuestion-1. serviceQuestion-1. Are anesthesia services being requested for pain management, dental surgery or services in the office rendered by a non-participating provider? serviceQuestion-2. serviceQuestion-2. Find out if you need a STAR+PLUS MMP pre-authorization with Superior HealthPlan's easy Pre Auth Needed Tool. Jan 1, 2024 · After launching the provider online search tool, make sure the product network (STAR, CHIP, STAR+PLUS, STAR Health, STAR Kids, Ambetter, Medicare, MMP) is the network you want to search for providers. The network will automatically default to the last product network you selected. For help finding a hospital, please visit: Find Hospitals Near You. Jan 1, 2024 · 11/17/23. Superior HealthPlan will require prior authorization for certain genetic testing for Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP) and Marketplace (Ambetter from Superior HealthPlan) members. Prior authorization requests should be submitted to National Imaging Associates, Inc. (NIA). Stay Healthy and Stay Well with Ambetter from Superior HealthPlan. Get the most from your Ambetter Health insurance with our health and wellness benefits. Choose optional, …Ambetter from Superior HealthPlan Welcomes New and Current Members for the 2023 Plan Year. Date: 10/24/22. As the health insurance landscape continues to evolve, some insurance carriers have elected to exit some markets. Good news!Jan 1, 2024 · Member Resources. Superior HealthPlan is committed to providing our members with the resources they need to ensure the best possible care. In this section, we provide information and resources including member handbooks, forms and helpful links. If you need help understanding any of the information, please contact Superior Member Services. Discover Superior HealthPlan. STAR Kids is health insurance for children with disabilities, special needs or chronic conditions, who are age 20 or younger. Superior works with the Texas Health and Human Services Commission (HHSC) to provide these services. Some of the conditions that may qualify children and youth for STAR Kids …Superior HealthPlan is pleased to announce the availability of an easy-to-use, online ordering platform for Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DME-POS). Superior’s partnership with Tomorrow Health offers an online platform which facilitates quality care through electronic submission, tracking and access ...Member Handbooks. The member handbook link below contains updated information for STAR, STAR Kids, STAR+PLUS and STAR Health handbooks, effective 7/17/2023. You can get a paper copy of the Member Handbook and any member materials for free by calling Member Services at the number on the back of your ID card. Paper forms of member …HEDIS® is a set of standardized performance measures developed and updated annually by the National Committee for Quality Assurance (NCQA) which allows comparison across health plans. Through HEDIS®, NCQA holds Superior HealthPlan accountable for the timeliness and quality of health-care services (acute, preventive, mental health, etc ...According to Healthline, the function of the superior vena cava is to carry spent, deoxygenated blood from the rest of the body to the right atrium of the heart. The right atrium t...Jan 1, 2024 · Discover Superior HealthPlan. Texas STAR Medicaid is a managed health care plan for residents of the Lone Star State. Residents within the nine coverage areas are eligible to utilize this plan to access healthcare including primary care, specialists, hospitals, and more. Oct 12, 2023 ... Superior HealthPlan delivers the quality health-care coverage that you deserve. Our commitment to your well-being extends beyond the ...Ambetter from Superior HealthPlan offers Marketplace insurance plans with different coverage and benefit options, and premium levels. Learn more about our plan options, including Ambetter Value and Virtual Access …In today’s fast-paced world, music and entertainment have become an integral part of our daily lives. With the advent of technology, radio has evolved, and one of the most popular ...You can also call Superior Member Services at 1-877-277-9772, and get their name and phone number. Where Can I Find a List of Nursing Facilities? To find a nursing facility close to you, look through the provider directory or call Member Services at 1-877-277-9772 .Jan 1, 2024 · Behavioral Health Disclosure of Ownership and Control Interest Statement (PDF) Behavioral Health Facility and Ancillary Credentialing Application (PDF) Behavioral Health Provider Specialty Profile (PDF) Form 1600 - Permission to Allow Superior HealthPlan to Request Child Abuse/Neglect Central Registry can be found on the DFPS Forms webpage. Superior HealthPlan se compromete a mejorar la salud de los afiliados en todo Texas a través de Medicaid, CHIP, Medicare y el Mercado de seguros de salud. Obtenga cobertura médica o conviértase en proveedor hoy. Superior HealthPlan has a program for CHIP Perinatal Care that is part of Texas’ Children’s Health Insurance Program (CHIP). These benefits are designed to provide prenatal services to unborn children of pregnant low-income women, who do not qualify for Medicaid. Unlike CHIP, there is no 90-day waiting period before coverage can begin and ...Medicare-Medicaid Plan. Medicare Advantage Plan. For Providers. Network Request or Update. Add a Product to an Existing Contract. Add a Provider to an Existing Group Contract. Add a Practice Location to an Existing Contract. Change of Ownership (CHOW) Request Network Participation, Non-Contracted Providers Only.Language assistance services, auxiliary aids and services, and other alternative formats are available to you free of charge. To obtain this, call the number on the back of your Superior ID card (TTY: 1-800-735-2989). English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you.Jan 1, 2024 · There are two ways to arrange non-emergency medical transportation (NEMT). Call SafeRide Inc. directly at 1-855-932-2318; TTY 7-1-1. Use the SafeRide Member Portal (different from the Superior HealthPlan Member Portal) Please have the following information ready when you call or make an online reservation: Member ID number. Member date of birth. Jun 23, 2020 ... Try YouTube Kids · Superior HealthPlan · What to expect at your kids hearing test with Canberra Health Services. · Renew Now: Your Medicaid or...Jan 1, 2024 · Behavioral Health Disclosure of Ownership and Control Interest Statement (PDF) Behavioral Health Facility and Ancillary Credentialing Application (PDF) Behavioral Health Provider Specialty Profile (PDF) Form 1600 - Permission to Allow Superior HealthPlan to Request Child Abuse/Neglect Central Registry can be found on the DFPS Forms webpage. Contact. Personal care. Emotional support. Medical care. Education. Feeling safe and secure. Superior HealthPlan exists to improve the health of its members through focused, compassionate & coordinated care. Get insured or become a provider today.Effective January 1, 2024, Express Scripts will serve as Superior HealthPlan’s new Pharmacy Benefit Manager (PBM) and begin processing pharmacy claims. Please ensure this update is noted for your practice and staff. Superior members have been notified and received a new ID card, effective January 1, 2024, in advance of this change.Superior HealthPlan offers a number of Texas healthcare plans, including Medicaid, CHIP, Medicare and the Health Insurance Marketplace. Find out which option is right for you.Sep 1, 2019 · Electronic prior authorization pre-screen tools are available on Superior’s website to provide procedure code specific information for the services, supplies, equipment and Clinician Administered Drugs (CAD) that require prior authorization. To view the Superior Prior Authorization Prescreen Tool, access the links below by program: When it comes to sunglasses, finding a brand that offers superior quality is essential. One brand that has been gaining popularity in recent years is Quay. Known for their trendy a...Contact. Personal care. Emotional support. Medical care. Education. Feeling safe and secure. Superior HealthPlan exists to improve the health of its members through focused, compassionate & coordinated care. Get insured or become a provider today.Jan 1, 2024 · Central Registry Check Request for Abuse/Neglect - Form 1600, for behavioral health foster care providers only. For questions on the credentialing process, please: Email: [email protected]. Call: Superior Provider Services at 1-877-391-5921. ASA tableware, also known as Acrylonitrile Styrene Acrylate tableware, is gaining popularity in the market due to its unique features and superior quality. This durable and stylish...You can also call Superior Member Services at 1-877-277-9772, and get their name and phone number. Where Can I Find a List of Nursing Facilities? To find a nursing facility close to you, look through the provider directory or call Member Services at 1-877-277-9772 .Superior HealthPlan is proud to partner with doctors in your area. Find your doctor from our list of network providers. *Restrictions and limitations apply. These services are effective 9/1/23-8/31/24. **CHIP, STAR, STAR+PLUS members can earn up to $150 in rewards. STAR Kids members can earn up to $100 in rewards.Superior HealthPlan. Phone Number. 855-932-2318. Member Portal. Access Your Member Portal. 106 Jefferson St., 3rd Fl. San Antonio, TX 78205 (855) 955-7433. Solutions. Seamless Access Customizable Platform Connected Network Real-Time Visibility. Support. For Riders Login Contact Us Help Center. Company.As a Superior member, you have access to Superior’s Asthma Care Management program. If your asthma is difficult to manage or you need assistance accessing benefits and services, we can help. Superior's Care Managers are registered nurses and licensed social workers who will work with you to provide support and answer questions.There are two ways to arrange non-emergency medical transportation (NEMT). Call SafeRide Inc. directly at 1-855-932-2318; TTY 7-1-1. Use the SafeRide Member Portal (different from the Superior HealthPlan Member Portal) Please have the following information ready when you call or make an online reservation: Member ID …Jan 1, 2024 · Texas Area United Way. 3401-B. Armory Road, Wichita Falls, TX 76302. 1st. Thursday of the month 9am-11am. Superior HealthPlan serves its members through a variety of programs. This helpful guide has details about how these programs can help members get the right care, in the right place, at the right time. Secure Web Portal Support. For support while using the web portal, please call 1-866-895-8443 or email [email protected]. *In addition to updating information with Superior, providers must also update their demographics with Texas Medicaid & Healthcare Partnership (TMHP). To update demographic information in the TMHP ... Jan 1, 2024 · After launching the provider online search tool, make sure the product network (STAR, CHIP, STAR+PLUS, STAR Health, STAR Kids, Ambetter, Medicare, MMP) is the network you want to search for providers. The network will automatically default to the last product network you selected. For help finding a hospital, please visit: Find Hospitals Near You. Durable Medical Equipment (DME) providers/agencies are encouraged to fill out the following form. Providing Superior with this information will help us highlight the DME supplies available to Superior HealthPlan members through your organization. Please complete the form for each TIN and NPI combination. Please note: For any future …When it comes to protecting your home and loved ones, nothing is more important than choosing the right home security system. With so many options available in the market, it can b...Language assistance services, auxiliary aids and services, and other alternative formats are available to you free of charge. To obtain this, call the number on the back of your Superior ID card (TTY: 1-800-735-2989). English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you.Jan 1, 2024 · You may get those at a local network pharmacy with a prescription. You may also get covered Durable Medical Equipment (DME) or Medical Supplies through a Superior HealthPlan provider. To request a prior authorization from the Superior DME Prior Authorization Department, call 1-800-218-7508 ext. 53227. In today’s digital age, where convenience and efficiency are highly valued, it’s no surprise that more and more people are turning to online platforms for their travel needs. When ...Jan 1, 2024 · Available for all Superior members. Ages 6 and up. Create a Grow Therapy Account. Call: 1-928-851-8827 and press #2 for live chat support. Superior HealthPlan strives to provide members with quality care. Teladoc is one way members can access medical advice anytime, anywhere. Learn how you, as a member, can access this tool. EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV. Effective March 1, 2024: Pharmacy and Biopharmacy Policies. Effective March 1, 2024: Removal of Prior Authorization Requirement for Certain Genetic Procedures. EVV Claims Matching Bypass from January 1 to March 31. Superior HealthPlan is committed to providing appropriate, high-quality and cost-effective drug therapy to all members. Superior covers prescription medications as outlined by the Texas Medicaid and CHIP Vendor Drug Program (VDP). Some medications may require prior authorization, and may have clinical prior authorization edits or other ...Dec 16, 2019 ... Ambetter Customer Reviews and Complaints If you are looking for the cheapest rates for health coverage, then Ambetter Health Insurance is a .... to hospitals for inpatient and outpatient services to membeEmergency Room (ER) For more information on Where to go for Care Skip to main contentJan 1, 2024 · Texas Area United Way. 3401-B. Armory Road, Wichita Falls, TX 76302. 1st. Thursday of the month 9am-11am. Superior HealthPlan serves its members through a variety of programs. This helpful guide has details about how these programs can help members get the right care, in the right place, at the right time. China's subsidy policy is intended to strengthen th Jan 1, 2024 · Suite 300. San Antonio, TX 78230. 1-866-615-9399. Superior HealthPlan exists to improve the health of its members through our Medicaid, STAR, and CHIP programs. Get covered with Superior HealthPlan today. Please fax form to Superior HealthPlan at 1-866-399-0929. T EXAS S TANDARDIZED P RIOR A UTHORIZATION R EQUEST F ORM F OR P RESCRIPTION D RUG B ENEFITS S ECTION I—S UBMISSION Health Passport Support. 1-866-714-7996. TX_PassportA...
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