Superior Health Plan Clinical Guidelines

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Clinical, Payment & Pharmacy Policies - Superior HealthPlan

(5 days ago) WEBClinical policies are one set of guidelines used to assist in administering health plan benefits, either by prior authorization or payment rules. They include but are not limited to policies relating to evolving medical technologies and procedures, as well as pharmacy …

https://www.superiorhealthplan.com/providers/resources/clinical-payment-policies.html

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SCOPE: - Superior HealthPlan

(6 days ago) WEB2. Internal Use of Clinical Practice Guidelines a. Whenever possible, Superior will utilize the clinical documentation systems provided by a selected vendor. Centene …

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

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SUPERIOR HEALTH PLAN - radmd.com

(6 days ago) WEBClinical guidelines RECORD KEEPING AND DOCUMENTATION STANDARDS Physical Medicine – Clinical Decision Making Original Date: November 2015 Guideline Number: …

https://www1.radmd.com/media/948078/record-keeping-and-documentation-standards-2021-superior-health-v1.pdf

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RADMD SUPERIOR HEALTH PLAN PHYSICAL MEDICINE

(1 days ago) WEBSuperior Health Plan Clinical Guideline 602 for Outpatient Habilitative and Rehabilitative Speech Therapy ; Superior Health Plan Clinical Guideline 603 for Outpatient …

https://www1.radmd.com/superior-health-plan-physical-medicine

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Effective March 31, 2023: Clinical Policies - Superior HealthPlan

(5 days ago) WEBSuperior HealthPlan has updated certain clinical policies to ensure medical necessity review criteria is current and appropriate for members and the scope of services …

https://www.superiorhealthplan.com/newsroom/effective-03312023-clinical-policies.html

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Clinical Guidelines :: The Health Plan

(3 days ago) WEBClinical Guidelines. Clinical guidelines measure quality across the organization and ensure content is consistent for each condition managed as well as ensuring appropriate …

https://www.healthplan.org/providers/clinical-support/clinical-guidelines

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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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Texas Cenpatico

(3 days ago) WEBTexas. Effective November 1, 2017 behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. for STAR, STAR+PLUS, …

https://www.cenpatico.com/providers/tx.html

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Effective June 7, 2021: Clinical Policies - Superior HealthPlan

(5 days ago) WEBSuperior HealthPlan has either created new policy, revised or retired existing clinical policies to ensure medical necessity review criteria is current and …

https://www.superiorhealthplan.com/newsroom/effective-06072021-clinical-policies.html

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Effective January 22, 2024: Clinical Policies

(5 days ago) WEBTo review all policies, please visit Superior’s Clinical, Payment & Pharmacy Policies webpage. Prior to updates, Medical Clinical policies are reviewed and approved by the …

https://www.superiorhealthplan.com/newsroom/effective-01222024-clinical-policies.html

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WEBguidelines through December 31, 2019. Providers can contact Horizon BCBSNJ Utilization Management Department at 1-800-664-2583 or visit NaviNet.net. After January 1, 2020, …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Effective October 6 2021 Clinical Policies - Ambetter from Superior

(Just Now) WEBDate: 09/29/21. Superior HealthPlan has updated certain clinical policies to ensure medical necessity review criteria is current and appropriate for members and the scope …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-october-6-2021-clinical-policies.html

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LICENSING ORTHONET CLINICAL CRITERIA

(5 days ago) WEBFor more information, contact the OrthoNet Medical Management Appeals Department at 914-681-8800. OrthoNet’s determination indicates that we considered the person to …

https://www.orthonet-online.com/forms/NJ_WEB_NOTICE.pdf

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Effective August 1, 2024: Clinical Policies - Ambetter from Superior

(8 days ago) WEBEffective August 1, 2024: Clinical Policies. Date: 05/08/24. Superior HealthPlan has added and updated certain clinical policies to ensure medical necessity …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/eff-08012024-clinical-policies.html

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WEBC. Specific clinical information, such as diagnosis, severity, supporting evidence of diagnosis, and planned treatment D. Member’s designated contact 3. Critical clinical …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Global research trend and hotspot in the low FODMAP diet: a

(6 days ago) WEBThe low FODMAP diet is the most recommended dietary intervention for the clinical management of IBS symptoms. Bibliometrics analysis provides a …

https://jhpn.biomedcentral.com/articles/10.1186/s41043-024-00567-7

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBClinical Appeals for Medicaid: Horizon NJ Health Horizon Behavioral Health Attention: Clinical Appeals 103 Eisenhower Parkway, Suite 120, Roseland, New Jersey 07068 …

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Asthma Awareness Month: Inclusion of National Guidelines into …

(Just Now) WEBDate: 05/13/24. In support of Asthma Awareness Month, Superior HealthPlan would like to share the American Lung Association's advocacy for the inclusion of …

https://www.superiorhealthplan.com/newsroom/asthma-awareness-month-05132024.html

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Secure Portal: Manage Tasks Quickly and Easily

(3 days ago) WEBDate: 05/13/24. Superior HealthPlan's Secure Provider Portal allows your practice to manage member administrative tasks quickly and easily. Through the portal, …

https://www.superiorhealthplan.com/newsroom/secure-portal-manage-tasks-quickly-and-easily-05132024.html

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