Superior Health Plan Medicare Guidelines

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Eligibility Requirements - Superior HealthPlan

(9 days ago) People also askIs Superior HealthPlan a Medicare plan?Superior HealthPlan is an HMO with a Medicare contract. Enrollment in Superior HealthPlan depends on contract renewal. Y0020_16005WEB_BIL_C_2020 01152020 If you’re an Ambetter member, you have access to coverage with Allwell - a Medicare Advantage plan offered from Superior HealthPlan. Learn more.Medicare Eligibility Requirements Ambetter from Superior HealthPlanambetter.superiorhealthplan.comDoes Superior HealthPlan require prior authorization for medical eye procedures?Effective May 1, 2024, Superior HealthPlan will no longer require prior authorization for certain medical eye procedures for Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) and CHIP, below are the Current Procedural Terminology (CPT) codes included in this change to the prior authorization requirements.Prior Authorization Superior HealthPlansuperiorhealthplan.comWho is Superior HealthPlan?At Superior HealthPlan, we understand how important your and your family’s health-care needs are. It’s important to us, too. Superior HealthPlan is your partner and advocate. Learn more about our Texas Medicaid options below. Is A Texas Medicaid Plan Right For Me?Texas Medicaid Options & Plans Superior HealthPlansuperiorhealthplan.comHow does Superior HealthPlan provide provider training?• Superior HealthPlan provides ongoing provider training, which is conducted through webinars, quarterly and refresher trainings on an as-needed-basis, during routine on-site visits and upon request. In addition, your local, state and national provider organizations are likely to have information resources available as well.Provider and Billing Manual - Ambetter from Superior HealthPlanambetter.superiorhealthplan.comDoes Superior HealthPlan require prior authorization for genetic testing?Effective March 1, 2024, Superior HealthPlan will no longer require prior authorization for certain genetic testing for Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP) and Ambetter from Superior HealthPlan (Marketplace).Prior Authorization Superior HealthPlansuperiorhealthplan.comWhat is Superior HealthPlan Star+Plus Medicare-Medicaid Plan (MMP)?Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a Medicare-Medicaid Plan made up of doctors, hospitals, pharmacies, providers of long-term services and supports, and other providers. It also has service coordinators and service coordination teams to help you manage all your providers and services.Medicare-Medicaid Plan - Superior HealthPlanmmp.superiorhealthplan.comFeedbackSuperior HealthPlanhttps://www.superiorhealthplan.com/providers/training-manuals.htmlProvider Training and Manuals Superior HealthPlanWebMental Health Rehabilitation and Targeted Case Management (SB58) Training (PDF) Nursing Facility Provider Training (PDF) Outpatient Behavioral Health Provider Training (PDF) STAR Health (Foster Care) Resources. External Link. , including but not limited to …

https://mmp.superiorhealthplan.com/enrollment-information/eligibility-requirements.html#:~:text=Superior%20HealthPlan%20STAR%2BPLUS%20Medicare-Medicaid%20Plan%20%28MMP%29%20will%20be,one%20of%20these%20counties%3A%20Bexar%2C%20Dallas%20or%20Hidalgo.

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Coronavirus Updates - Superior HealthPlan

(1 days ago) WebAmbetter Telehealth Billing Guidelines; Superior is closely monitoring and following all guidance from the State and the Centers for Medicare and Medicaid as it is released, to …

https://www.superiorhealthplan.com/providers/coronavirus.html

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SCOPE: - Superior HealthPlan

(6 days ago) WebWhenever possible, Superior will adopt guidelines from recognized sources. Source data must be documented in the guidelines to include the scientific basis or the authority …

https://provider.superiorhealthplan.com/static/provider/docs/superior/TX_Practice_Guidelines.pdf

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Practice Guidelines Provider Resources Superior HealthPlan

(9 days ago) Web5900 E. Ben White Blvd. Austin, Texas 78741. For more information and resources on Practice Guidelines, please reference the following link: Adopted Clinical Practice …

https://www.superiorhealthplan.com/providers/resources/quality-improvement/practice-guidelines.html

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List of Drugs (Formulary) - Superior HealthPlan

(4 days ago) WebSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of …

https://mmp.superiorhealthplan.com/prescription-drug-part-d/formulary.html

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Superior HealthPlan Medicare Advantage Plans with Part D US …

(9 days ago) WebSuperior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan) H6870-001-000. 2024 Overall Rating. Editorial Guidelines. Contact. Press. Advertise. …

https://health.usnews.com/medicare/superior-healthplan-medicare-plans

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STAR+PLUS Medicaid Texas Medicaid Superior HealthPlan

(4 days ago) WebTexas STAR+PLUS. Superior HealthPlan proudly offers STAR+PLUS, a Medicaid managed care program serving low-income individuals who have physical or mental …

https://www.superiorhealthplan.com/members/medicaid/benefits-services/star-plus.html

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Provider and Billing Manual - Ambetter from Superior …

(9 days ago) WebHEALTH PLAN INFORMATION. Ambetter from Superior HealthPlan . Ambetter from Superior HealthPlan 5900 E. Ben White Blvd. Austin, TX 78741 Phone: 1-800-964-2777 …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2022-AmbPrvdrManual.pdf

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Superior HealthPlan Telemedicine Quick Reference Chart

(7 days ago) WebHHSC is authorizing providers to bill codes 99201-99205 and 99211-99215 for telephone (audio-only) medical (physician delivered) evaluation and management services …

https://thotonline.org/wp-content/uploads/2022/04/Superior-Telemedicine-Quick-Reference-Chart.pdf

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Central Texas Medicaid, CHIP recipients to lose Superior HealthPlan

(5 days ago) WebThe state chose Aetna to begin serving this area instead of Superior, beginning Sept. 1, 2025. This means that 92,864 people, or 57%, of those who have …

https://www.statesman.com/story/news/healthcare/2024/05/25/medicaid-chip-recipients-central-texas-lose-superior-healthplan/73772703007/

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Texas CHIP Insurance & Benefits Superior HealthPlan

(9 days ago) WebSuperior HealthPlan proudly offers CHIP insurance in 7 service areas around the state of Texas: CHIP insurance in Texas provides health care for children from families who earn …

https://www.superiorhealthplan.com/members/medicaid/benefits-services/chip.html

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Effective June 28, 2024: Clinical Policies

(8 days ago) WebAs a result, the following policies are effective on June 28, 2024, at 12:00AM. To review all policies, please visit Superior’s Clinical, Payment & Pharmacy Policies …

https://www.superiorhealthplan.com/newsroom/eff-06282024-clinical-policies-05222024.html

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Texas Medicaid Options & Plans Superior HealthPlan

(6 days ago) WebMedicare Member Plan Benefits Resumed for Applicable COVID-19 Testing, Screening, and Treatment Services Inclusion of National Guidelines into Clinical Practice; Secure …

https://www.superiorhealthplan.com/members/medicaid.html

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EVV PSO 2024 Onboarding Schedule and Enrollment Information

(7 days ago) WebEVV PSO 2024 Onboarding Schedule and Enrollment Information. Date: 05/23/24. The Texas Health and Human Services Commission (HHSC) is encouraging …

https://www.superiorhealthplan.com/newsroom/evv-pso-2024-onboarding-schedule-and-enrollment-information-05232024.html

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