Superior Health Plan Pharmacy Requirements

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Effective February 1, 2022: Pharmacy and Biopharmacy Policies

(5 days ago) People also askWhen does Superior HealthPlan update pharmacy and Biopharmacy policies?Superior HealthPlan has added and updated certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and appropriate for members and the scope of services provided. As a result, the following policies are effective on April 1, 2024, at 12:00AM.Prior Authorization Superior HealthPlansuperiorhealthplan.comWhat services does Superior HealthPlan offer?Superior HealthPlan equips each of our providers with the most up-to-date resources available for Texas Medicaid (STAR, STAR+PLUS, STAR Kids, STAR Health), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Medicare (Wellcare By Allwell) and Health Insurance Marketplace (Ambetter from Superior HealthPlan).Texas Provider Resources Superior HealthPlansuperiorhealthplan.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 health plan?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. Out-of-network/non-contracted providers are under no obligation to treat Superior STAR+PLUS MMP members, except in emergency situations.Superior STAR+PLUS MMP Member Handbookmmp.superiorhealthplan.comFeedbackAmbetter from Superior HealthPlanhttps://ambetter.superiorhealthplan.com/resources/Ambetter’s Pharmacy Program Ambetter from Superior HealthPlanWEBPharmacy Program. Ambetter from Superior HealthPlan is committed to providing appropriate, high quality, and cost effective drug therapy to all Ambetter from Superior HealthPlan members. Ambetter from Superior HealthPlan works with providers and …

https://www.superiorhealthplan.com/newsroom/effective-02012022-pharmacy-policies.html#:~:text=Policy%20updates%20include%3A%201%20Added%20Belrapzo%202%20Added,lymphomas%205%20Removed%20age%20requirement%20for%20pediatric%20HL

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Effective July 3, 2023: Pharmacy and Biopharmacy Policies

(5 days ago) WEBEffective July 3, 2023: Pharmacy and Biopharmacy Policies. Date: 05/04/23 . Superior HealthPlan has updated certain pharmacy and biopharmacy policies to ensure …

https://www.superiorhealthplan.com/newsroom/effective-07032023-pharmacy-policies.html

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February 2023 Pharmacy and Biopharmacy Policies

(5 days ago) WEBEffective February 1, 2023: Pharmacy and Biopharmacy Policies. Date: 12/01/22 Superior HealthPlan has updated certain pharmacy and biopharmacy policies …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/february-2023-pharmacy-and-biopharmacy-policies.html

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New Fax Number for Pharmacy Prior Auth Requests

(5 days ago) WEBOn July 6, 2022, Ambetter will be moving to a new fax number for pharmacy prior authorization requests: 1-800-977-4170. On the effective date, the Prior Authorization …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/new-fax-number-for-pharmacy-prior-auth-requests.html

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Texas Medicaid Pharmacy Benefits Superior HealthPlan

(5 days ago) WEBHealth Insurance Marketplace Plan Medicaid & CHIP Plans Coronavirus Updates Monkeypox Updates Login Find a Provider How to Apply Renewing Benefits; Plan …

https://www.superiorhealthplan.com/content/superior/en_us/members/medicaid/benefits-services/pharmacy.html?langswitch_lang=en

Category:  Coronavirus Show Health

Member Handbook - Superior HealthPlan

(4 days ago) WEBMember Handbook. Click below on the Member Handbook. It tells you about your Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) coverage. For …

https://mmp.superiorhealthplan.com/benefits/member-handbook.html

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Ambetter from Superior HealthPlan Prior Authorization List

(3 days ago) WEBPHONE: 1-877-687-1196. Health Insurance Marketplace (HIM) Physical Health, Behavioral Health, Ambetter from Superior HealthPlan Clinician Administered Drugs (CAD) Prior …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/SHP-20207208-Ambetter-Prior-Authorization-List.pdf

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Ways to access your Member Handbook, Drug List or Provider …

(3 days ago) WEBCall 1-866-896-1844 (TTY: 711) or. Visit mmp.SuperiorHealthPlan.com to access our online searchable directory. If you would like a Provider and Pharmacy Directory mailed to you, …

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/2022-TX-PPDLODEOCFLYER-H6870-ALL-MMP.pdf

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Pharmacy Processing Information Frequently Asked Questions

(2 days ago) WEBFor some drugs, there may beadditional requirements or limits to coverage. Superior Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids) and Children’s Health …

https://www.fostercaretx.com/content/dam/centene/Superior/Provider/PDFs/SHP_20206993B-Pharmacy-FAQ-For-Pharmacies-P-508-10072020.pdf

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Superior STAR+PLUS MMP Member Handbook

(Just Now) WEB2020 Member Handbook Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) January 1, 2020 – December 31, 2020 H6870_20_MH_Accepted_09172019

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/MMP-TX-20-H6870-001-EOC.pdf

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Drug Transition Policy - Superior HealthPlan

(7 days ago) WEBFor Medicare Part D drugs: You are new to the plan or were in the plan last year. We will cover a temporary supply of your drug during the first 90 days of your membership in the …

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

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Superior HealthPlan - Envolvehealth.com

(3 days ago) WEBEnvolve Pharmacy Solutions is the Pharmacy Benefit Manager contracted to administer pharmacy benefits for Superior HealthPlan. Main Headquarters: 5 River Park Place …

https://pharmacy.envolvehealth.com/content/dam/centene/envolve-pharmacy-solutions/pdfs/EnvolvePSForms/USS_SHP%20Webinar%201_02%2001%2012_V1.pdf

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How to Enroll in Health Insurance Ambetter from Superior …

(8 days ago) WEBAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, …

https://ambetter.superiorhealthplan.com/join-ambetter/become-a-member/how-to-enroll.html

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Health Insurance Providers in Texas About Ambetter from …

(3 days ago) WEBAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, …

https://ambetter.superiorhealthplan.com/about-us.html

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Medicare Eligibility Requirements Ambetter from Superior …

(2 days ago) WEBStay with the health plan you trust. If you’re a member of Ambetter, you have access to coverage with Allwell - a Medicare Advantage plan offered from Superior HealthPlan. …

https://ambetter.superiorhealthplan.com/medicare-eligible.html

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Phone Directory Contact Us Superior HealthPlan

(9 days ago) WEBSuperior HealthPlan provides quality Medicaid and CHIP health insurance to members across Texas. If you have STAR or CHIP coverage, call 1-800-783-5386 to speak with a …

https://www.superiorhealthplan.com/content/superior/en_us/contact-us/phone-directory.html

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Clinical Pharmacy Prior Authorization, Notification and Medical

(2 days ago) WEBListing of requirements for Clinical Pharmacy /Drugs Prior Authorization, Notification, plus dental and behavioral health Resources expand_more; Health plans, policies, …

https://www.uhcprovider.com/en/prior-auth-advance-notification/prior-auth-specialty-drugs/prior-auth-pharmacy-medical-necessity.html

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Telehealth Services - Superior HealthPlan

(9 days ago) WEBLast updated: 10/01/2023. Material ID: H6870_WEBSITE_2024_APPROVED_10/11/2023. Superior HealthPlan STAR+PLUS …

https://mmp.superiorhealthplan.com/resources/telehealth-services.html

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