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PORTAL FOR MEMBERS
Create Your Own Account. Create your own health plan account online today! Superior has many convenient and secure tools to assist you and give you access to better health-care information. To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. TEXAS MEDICAID & HEALTH INSURANCE Symptoms are flu-like, including: Fever. Coughing. Shortness of breath. If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. For the latest COVID-19 news, visit the CDC. Get moreinfo now.
PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
TRANSPORTATION
Where’s My Ride: 1-855-932-2319; TTY: 7-1-1. Hours: 5:00 a.m.-7:00 p.m. Monday-Saturday. You should request your rides as early as possible, and at least two working (business) days before you need the ride. In certain circumstances, you may request a ride with less than two working (business) days’ notice. These circumstances include: SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one locationMEMBER TIPS
Medicaid members should call Superior's Medical Ride Program, provided by SafeRide, at 1-855-932-2318. Call at least two work days before you need to be picked up. Hours: 8 a.m. - 5 p.m. Monday-Friday. SUBMIT CORRECT PRIOR AUTHORIZATION FORMS Submit Correct Prior Authorization Forms. Date: 05/21/20 As a reminder, Superior HealthPlan launched new inpatient and outpatient forms for requesting prior authorization for medical and behavioral health services, with updated fax numbers listed on the forms onFebruary 22, 2020.
REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19. Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates: Personal Care Services. Personal Attendant Services.PRACTICE GUIDELINES
Practice Guidelines. Superior approves, adopts and promotes clinical practice guidelines to practitioners in an effort to improve health-care quality and reduce unnecessary variation in care for its enrolled members. These evidence-based guidelines are known to be effective in improving health outcomes and are adopted from recognizedsources.
PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385PORTAL FOR MEMBERS
Create Your Own Account. Create your own health plan account online today! Superior has many convenient and secure tools to assist you and give you access to better health-care information. To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. TEXAS MEDICAID & HEALTH INSURANCE Symptoms are flu-like, including: Fever. Coughing. Shortness of breath. If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. For the latest COVID-19 news, visit the CDC. Get moreinfo now.
PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
TRANSPORTATION
Where’s My Ride: 1-855-932-2319; TTY: 7-1-1. Hours: 5:00 a.m.-7:00 p.m. Monday-Saturday. You should request your rides as early as possible, and at least two working (business) days before you need the ride. In certain circumstances, you may request a ride with less than two working (business) days’ notice. These circumstances include: SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one locationMEMBER TIPS
Medicaid members should call Superior's Medical Ride Program, provided by SafeRide, at 1-855-932-2318. Call at least two work days before you need to be picked up. Hours: 8 a.m. - 5 p.m. Monday-Friday. SUBMIT CORRECT PRIOR AUTHORIZATION FORMS Submit Correct Prior Authorization Forms. Date: 05/21/20 As a reminder, Superior HealthPlan launched new inpatient and outpatient forms for requesting prior authorization for medical and behavioral health services, with updated fax numbers listed on the forms onFebruary 22, 2020.
REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19. Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates: Personal Care Services. Personal Attendant Services.PRACTICE GUIDELINES
Practice Guidelines. Superior approves, adopts and promotes clinical practice guidelines to practitioners in an effort to improve health-care quality and reduce unnecessary variation in care for its enrolled members. These evidence-based guidelines are known to be effective in improving health outcomes and are adopted from recognizedsources.
PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385 AMBETTER FROM SUPERIOR HEALTHPLAN LOGIN Log into your Ambetter from Superior HealthPlan account. Members can view plan benefits check rewards balances, and more. Tools for providers also available.PRIOR AUTHORIZATION
Prior authorization requests can be submitted by phone, fax or online through Superior HealthPlan’s Secure Provider Portal . Prior authorization phone assistance for members and providers is available on weekdays from 8am – 5pm in all time zones in Texas. VALUE-ADDED SERVICES At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services. For questions or to learn how to get these benefits for you/your child, call Member Services at 1-866-912-6283 or visit www.FosterCareTX.com . Value-added Services. 2021 PROVIDER MANUAL 7 OVERVIEW Allwell is a licensed health maintenance organization (HMO) contracted with the Centers for Medicare and Medicaid Services (CMS) to provide medical and behavioral health services to PAYER IDS FOR ELECTRONIC CLAIMS SUBMISSION Payer IDs for Electronic Claims Submission . Date: 11/25/19 As a reminder, providers serving Superior HealthPlan Medicaid (STAR, STAR Health, STAR Kids and STAR+PLUS) and CHIP members must use the correct Payer ID when submitting claims electronically. MEDICARE ELIGIBILITY REQUIREMENTS Stay 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. With Allwell, you’ll get the same local service and member experience you’ve come to know, plus more: Continue to rely on great healthcare coverage from the plan you trust! FORMS - SUPERIOR HEALTHPLAN You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385 PRIOR AUTHORIZATION DENIAL AND APPROVAL RATES 565 187 35 99 311 11 2020 Prior Authorization Denial and Approval Rates - CHIP. Service Type Total PA Request Approved Denied TotalRequests Denied for
CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE … CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE FORM Contact name & number of person requesting the appeal _____ SHP_2014628PORTAL FOR MEMBERS
Create Your Own Account. Create your own health plan account online today! Superior has many convenient and secure tools to assist you and give you access to better health-care information. To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. TEXAS MEDICAID & HEALTH INSURANCE Symptoms are flu-like, including: Fever. Coughing. Shortness of breath. If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. For the latest COVID-19 news, visit the CDC. Get moreinfo now.
PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
TRANSPORTATION
Where’s My Ride: 1-855-932-2319; TTY: 7-1-1. Hours: 5:00 a.m.-7:00 p.m. Monday-Saturday. You should request your rides as early as possible, and at least two working (business) days before you need the ride. In certain circumstances, you may request a ride with less than two working (business) days’ notice. These circumstances include: SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one locationMEMBER TIPS
Medicaid members should call Superior's Medical Ride Program, provided by SafeRide, at 1-855-932-2318. Call at least two work days before you need to be picked up. Hours: 8 a.m. - 5 p.m. Monday-Friday. SUBMIT CORRECT PRIOR AUTHORIZATION FORMS Submit Correct Prior Authorization Forms. Date: 05/21/20 As a reminder, Superior HealthPlan launched new inpatient and outpatient forms for requesting prior authorization for medical and behavioral health services, with updated fax numbers listed on the forms onFebruary 22, 2020.
REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19. Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates: Personal Care Services. Personal Attendant Services.PRACTICE GUIDELINES
Practice Guidelines. Superior approves, adopts and promotes clinical practice guidelines to practitioners in an effort to improve health-care quality and reduce unnecessary variation in care for its enrolled members. These evidence-based guidelines are known to be effective in improving health outcomes and are adopted from recognizedsources.
PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385PORTAL FOR MEMBERS
Create Your Own Account. Create your own health plan account online today! Superior has many convenient and secure tools to assist you and give you access to better health-care information. To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. TEXAS MEDICAID & HEALTH INSURANCE Symptoms are flu-like, including: Fever. Coughing. Shortness of breath. If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. For the latest COVID-19 news, visit the CDC. Get moreinfo now.
PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
TRANSPORTATION
Where’s My Ride: 1-855-932-2319; TTY: 7-1-1. Hours: 5:00 a.m.-7:00 p.m. Monday-Saturday. You should request your rides as early as possible, and at least two working (business) days before you need the ride. In certain circumstances, you may request a ride with less than two working (business) days’ notice. These circumstances include: SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one locationMEMBER TIPS
Medicaid members should call Superior's Medical Ride Program, provided by SafeRide, at 1-855-932-2318. Call at least two work days before you need to be picked up. Hours: 8 a.m. - 5 p.m. Monday-Friday. SUBMIT CORRECT PRIOR AUTHORIZATION FORMS Submit Correct Prior Authorization Forms. Date: 05/21/20 As a reminder, Superior HealthPlan launched new inpatient and outpatient forms for requesting prior authorization for medical and behavioral health services, with updated fax numbers listed on the forms onFebruary 22, 2020.
REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19. Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates: Personal Care Services. Personal Attendant Services.PRACTICE GUIDELINES
Practice Guidelines. Superior approves, adopts and promotes clinical practice guidelines to practitioners in an effort to improve health-care quality and reduce unnecessary variation in care for its enrolled members. These evidence-based guidelines are known to be effective in improving health outcomes and are adopted from recognizedsources.
PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385 SUPERIOR HEALTHPLAN, PRO FOOTBALL HALL OF FAME LAUNCH Superior HealthPlan, Pro Football Hall of Fame Launch COVID-19 Vaccination Awareness Effort . Date: 03/30/21 AUSTIN, Texas (March 30, 2021) – Centene Corporation and the Pro Football Hall of Fame have launched a PSA campaign to educate people across the U.S. about the safety and importance of the COVID-19 vaccine, with a particular focus on communities of color. SUPERIOR LAUNCHES COVID-19 VACCINE CAMPAIGN IN TEXAS Superior Launches COVID-19 Vaccine Campaign in Texas. Date: 04/05/21 The COVID-19 vaccine is now available for individuals 16 years of ageand older in Texas.
AMBETTER FROM SUPERIOR HEALTHPLAN LOGIN Log into your Ambetter from Superior HealthPlan account. Members can view plan benefits check rewards balances, and more. Tools for providers also available.PRIOR AUTHORIZATION
Prior authorization requests can be submitted by phone, fax or online through Superior HealthPlan’s Secure Provider Portal . Prior authorization phone assistance for members and providers is available on weekdays from 8am – 5pm in all time zones in Texas. VALUE-ADDED SERVICES At Superior HealthPlan, members can get many great services in addition to their regular benefits. These are called Value-added Services. For questions or to learn how to get these benefits for you/your child, call Member Services at 1-866-912-6283 or visit www.FosterCareTX.com . Value-added Services. DONATE LIFE MONTH: HOW A SUPERIOR MEMBER MADE A LASTING … To learn more about blood, tissue and organ donation, connect with the Texas Organ Sharing Alliance or the South Texas Blood & Tissue Center today.. To sign up to be a donor, visit Superior’s Donate Life Texas state registry page.PRIOR AUTHORIZATION
Superior HealthPlan is contracted with several Texas licensed Utilization Review Agents (URAs) to conduct utilization reviews for applicable prior authorization requests. These include the following Texas licensed utilization review units: Centene Company of Texas, LP (License #4167) – Physical and Behavioral Health. OVER THE COUNTER PROGRAM As a Superior HealthPlan Value-added Service*, STAR+PLUS**, STAR Health and STAR Kids members can get $30 for commonly used over-the-counter (OTC) items every quarter, per household. STAR and CHIP members can get $25 every quarter, per household. No prescription is needed for any of the items below. To order, please call1-866-768-8490.
FORMS - SUPERIOR HEALTHPLAN You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. 2021 PROVIDER MANUAL 7 OVERVIEW Allwell is a licensed health maintenance organization (HMO) contracted with the Centers for Medicare and Medicaid Services (CMS) to provide medical and behavioral health services toPORTAL FOR MEMBERS
Create Your Own Account. Create your own health plan account online today! Superior has many convenient and secure tools to assist you and give you access to better health-care information. To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. TEXAS MEDICAID & HEALTH INSURANCE Symptoms are flu-like, including: Fever. Coughing. Shortness of breath. If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. For the latest COVID-19 news, visit the CDC. Get moreinfo now.
PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one location REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19. Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates: Personal Care Services. Personal Attendant Services. EFFECTIVE JANUARY 1, 2021: MEDICARE PRIOR AUTHORIZATION Effective January 1, 2021: Medicare Prior Authorization Requirements. Allwell from Superior HealthPlan (HMO and HMO SNP) requires prior authorization as a condition of payment for many services. This notice contains information regarding these prior authorization requirements and is applicable to all Medicare products offered by Allwell. AFFORDABLE HEALTH INSURANCE IN TEXAS Ambetter can help. Our members’ health is important to us, now and always. That’s why you can count on us to cover COVID-19 testing and treatment. And if you’ve lost access to insurance, we want to help you get the coverage you need. Because protecting peoples’ health PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385 2021 PRESCRIPTION DRUG LIST 2021 Prescription Drug List Effective January 1, 2021. Ambetter.SuperiorHealthPlan.comMT-PAF-0769
*0769* All Part B Drug Requests: Fax 844-960-1785 Standard Requests: Fax. 877-808-9368. Behavioral Health Requests/Medical Records: Fax. 855-772-7079. Transplant: Fax. 833-589-1243PORTAL FOR MEMBERS
Create Your Own Account. Create your own health plan account online today! Superior has many convenient and secure tools to assist you and give you access to better health-care information. To enter our secure portal, click on the login button. A new window will open. You will be able to login or register. TEXAS MEDICAID & HEALTH INSURANCE Symptoms are flu-like, including: Fever. Coughing. Shortness of breath. If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with Superior telehealth services at 1-800-835-2362. For the latest COVID-19 news, visit the CDC. Get moreinfo now.
PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one location REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19. Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. Superior has updated our claims system to reimburse the updated fee schedule rates: Personal Care Services. Personal Attendant Services. EFFECTIVE JANUARY 1, 2021: MEDICARE PRIOR AUTHORIZATION Effective January 1, 2021: Medicare Prior Authorization Requirements. Allwell from Superior HealthPlan (HMO and HMO SNP) requires prior authorization as a condition of payment for many services. This notice contains information regarding these prior authorization requirements and is applicable to all Medicare products offered by Allwell. AFFORDABLE HEALTH INSURANCE IN TEXAS Ambetter can help. Our members’ health is important to us, now and always. That’s why you can count on us to cover COVID-19 testing and treatment. And if you’ve lost access to insurance, we want to help you get the coverage you need. Because protecting peoples’ health PRIOR AUTHORIZATION LIST SuperiorHealthPlan.com SHP_20163781 Rev. November 2019 • El Paso: 1-877-650-6941 • Lubbock/Amarillo: 1-866-865-4385 2021 PRESCRIPTION DRUG LIST 2021 Prescription Drug List Effective January 1, 2021. Ambetter.SuperiorHealthPlan.comMT-PAF-0769
*0769* All Part B Drug Requests: Fax 844-960-1785 Standard Requests: Fax. 877-808-9368. Behavioral Health Requests/Medical Records: Fax. 855-772-7079. Transplant: Fax. 833-589-1243PRIOR AUTHORIZATION
Prior authorization requests can be submitted by phone, fax or online through Superior HealthPlan’s Secure Provider Portal . Prior authorization phone assistance for members and providers is available on weekdays from 8am – 5pm in all time zones in Texas. AMBETTER FROM SUPERIOR HEALTHPLAN LOGIN Log into your Ambetter from Superior HealthPlan account. Members can view plan benefits check rewards balances, and more. Tools for providers also available.BEHAVIORAL HEALTH
Behavioral health refers to mental health and substance abuse (alcohol and drug) treatment. If you need help with a behavioral health problem, you should call your doctor or Superior. We have a group of mental health and substance abuse specialists to help you. You do nothave to get a
PAYER IDS FOR ELECTRONIC CLAIMS SUBMISSION Providers are required to submit corrected claims if an incorrect Payer ID is used. In order to ensure claims are submitted correctly, providers must use the following Payer IDs: 68069 for Medical Services. 68068 for Behavioral Services. Please note: Do not use Payer ID 421406317. This ID is not valid for Superior claim submissions. FORMS - SUPERIOR HEALTHPLAN You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. 2021 PROVIDER MANUAL 7 OVERVIEW Allwell is a licensed health maintenance organization (HMO) contracted with the Centers for Medicare and Medicaid Services (CMS) to provide medical and behavioral health services to MEDICARE ELIGIBILITY REQUIREMENTS Stay 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. With Allwell, you’ll get the same local service and member experience you’ve come to know, plus more: Continue to rely on great healthcare coverage from the plan you trust! LIST OF DRUGS (FORMULARY) Superior HealthPlan (Superior) STAR+PLUS Medicare-Medicaid Plan (MMP) contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees through one single health plan. The goal of this program is to improve the experience in accessing care and MEDICAID COMPLETE AND FAX TO: 800-690-7030 PRIOR MEDICAID PRIOR AUTHORIZATION FORM Complete and Fax to: 800-690-7030 Behavioral Health Requests/Medical Records: Fax 855-772-7079 Request for additional units. Existing Authorization CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE … CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE FORM Contact name & number of person requesting the appeal _____ SHP_2014628 TEXAS MEDICAID & HEALTH INSURANCE Support for Superior Members Affected by Recent Storms. If you are a member of Superior HealthPlan and are located in an area affected by recent storms, there are services available to help you. All Superior members who live within the official disaster designated counties and who may need to replace necessary medical equipment, services, or supplies should seek replacement through anyPORTAL FOR MEMBERS
Superior HealthPlan offers affordable Texas health insurance plans. Get covered with Superior HealthPlan today.PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
SUPERIOR HEALTHPLAN PROVIDER PORTAL & RESOURCES Superior HealthPlan offers free online accounts for providers. Create yours and access the secure tools you need today. SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one location AMBETTER FROM SUPERIOR HEALTHPLAN LOGIN Log into your Ambetter from Superior HealthPlan account. Members can view plan benefits check rewards balances, and more. Tools for providers also available. 2020 PROVIDER MANUAL OVERVIEW . Allwell is a licensed health maintenance organization (HMO) contracted with the Centers for Medicare and Medicaid Services (CMS) to provide medical and behavioral health services to FORMS - SUPERIOR HEALTHPLAN You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. AFFORDABLE HEALTH INSURANCE IN TEXAS Ambetter from Superior HealthPlan offers quality, affordable health insurance plans in Texas that fit your needs and budget. Apply on the Texas Marketplace today! CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE … CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE FORM Contact name & number of person requesting the appeal _____ SHP_2014628 TEXAS MEDICAID & HEALTH INSURANCE Support for Superior Members Affected by Recent Storms. If you are a member of Superior HealthPlan and are located in an area affected by recent storms, there are services available to help you. All Superior members who live within the official disaster designated counties and who may need to replace necessary medical equipment, services, or supplies should seek replacement through anyPORTAL FOR MEMBERS
Superior HealthPlan offers affordable Texas health insurance plans. Get covered with Superior HealthPlan today.PROVIDER LOGIN
Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. We encourage our participating providers to take advantage of our easy-to-use secure web portal for fast resolution of routineneeds.
SUPERIOR HEALTHPLAN PROVIDER PORTAL & RESOURCES Superior HealthPlan offers free online accounts for providers. Create yours and access the secure tools you need today. SUPERIOR HEALTHPLAN PROVIDER TOOLS The Tools You Need Now! Our site has been designed to help you get your job done. Manage all products with ease in one location AMBETTER FROM SUPERIOR HEALTHPLAN LOGIN Log into your Ambetter from Superior HealthPlan account. Members can view plan benefits check rewards balances, and more. Tools for providers also available. 2020 PROVIDER MANUAL OVERVIEW . Allwell is a licensed health maintenance organization (HMO) contracted with the Centers for Medicare and Medicaid Services (CMS) to provide medical and behavioral health services to FORMS - SUPERIOR HEALTHPLAN You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. AFFORDABLE HEALTH INSURANCE IN TEXAS Ambetter from Superior HealthPlan offers quality, affordable health insurance plans in Texas that fit your needs and budget. Apply on the Texas Marketplace today! CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE … CLAIMS APPEAL PAYMENT RECONSIDERATION & DISPUTE FORM Contact name & number of person requesting the appeal _____ SHP_2014628PORTAL FOR MEMBERS
Superior HealthPlan offers affordable Texas health insurance plans. Get covered with Superior HealthPlan today.PROVIDER FORMS
Superior HealthPlan provides the tools and support you need to deliver the best quality of care. View our provider resources online now.BEHAVIORAL HEALTH
Superior HealthPlan helps members with all aspects of their health. This includes behavioral health. Many members in Texas are currently struggling with mental health, but might not know how to reach out for help. Visit this site to see how Superior can help.HEALTH PASSPORT
Overview. Superior’s Health Passport is a web-based, secure application built using core clinical and claims information to deliver relevant health-care information when and where it is needed. REIMBURSEMENT RATE CHANGES Reimbursement Rate Changes. Date: 10/01/19 Effective for dates of service on or after September 1, 2019, the Medicaid-implemented fee schedule changes for Medicaid services are listed below. OVER THE COUNTER PROGRAM As a Superior HealthPlan Value-added Service*, STAR+PLUS**, STAR Health and STAR Kids members can get $30 for commonly used over-the-counter (OTC) items every quarter, per household. COVID-19 PUBLIC HEALTH EMERGENCY EXTENDED BY FEDERAL COVID-19 PUBLIC HEALTH EMERGENCY EXTENDED BY FEDERAL GOVERNMENT. Date: 03/17/21 On Jan. 7, 2021, HHS Secretary Alex Azar renewed the COVID-19 Public Health Emergency (PHE). FIND A DOCTOR OR PHARMACY With Allwell, you have a wide network of primary care physicians, specialists, hospitals and outpatient facilities to choose from. Use our Find a Doctor or Pharmacy tool to search for doctors or pharmacies in Texas or anywhere in the U.S. that is part of your coveragenetwork.
TEXAS PROVIDER RESOURCES Providers who partner with Ambetter from Superior HealthPlan benefit from years of healthcare experience & valuable resources. Learn more or join our network! PAY MY PREMIUM IN TEXAS Paying your monthly Ambetter premium online through Auto Pay is easy and hassle-free. Choose the payment option that works best for you by logging into your online member account.You can also use our easy Quick Payment option to save time. Or you can make your Ambetter payment by phone, mail or in person at MoneyGram® locations. Skip to Main Content Select Your Plan Belowsearch
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Our health insurance programs are committed to transforming the health of the community, one person at a time. /content/dam/centene/Superior/Medicaid/images/SHPHomepage.png * Health Insurance Marketplace Plan * Medicaid & CHIP Plans * Medicare Advantage Plan * Medicare-Medicaid Plan WE DO MORE FOR MEMBERS Superior HealthPlan members can get Value-added Services* in addition to their regular benefits.CORONAVIRUS DISEASE
Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. Learn how you can help keep yourself and others healthy. FREE DOCTORS ON-DEMAND REWARDS FOR HEALTHY ACTIVITIES* EXTRA VISION & DENTAL SERVICES* Learn More About Extra Benefits *Restrictions and limitations apply. Learn more about extra benefits.FIND A PROVIDER
Finding a provider is quick and easy. Search for Primary Care Providers, hospitals and pharmacies.GET COVERAGE
Get more information on the health coverage we provide and find out ifyou are eligible.
WE DO MORE
Since 1999, Superior has been doing more for our members by providing quality care and services×
KNOW THE FACTS ABOUT CORONAVIRUS COVID-19. Our call centers, including the nurse advice line, are currently experiencing high volume. You can get many of your Coronavirus-related questions answered here. Symptoms are flu-like, including:* Fever
* Coughing
* Shortness of breath If you think you might have been exposed, contact a doctor immediately. You can have a video or phone visit with a doctor using your phone or computer with SUPERIOR TELEHEALTH SERVICES AT1-800-835-2362 .
For the latest COVID-19 news, visit the CDC.Get more info now.
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Reporting Fraud, Waste & Abuse Managed Care Terms & Definitions You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader.Superior HealthPlan
5900 E. Ben White Blvd.Austin, TX 78741
If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Simply call Superior Member Services.
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