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Prior Authorization (Part C) - Superior HealthPlan

(8 days ago) People also askDoes 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.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.comHow do I contact Superior HealthPlan?Superior 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 Superior HealthPlan representative. If you have any other type of coverage from Superior, you can find the right phone number below to get in touch with the right team.Phone Directory Contact Us Superior HealthPlansuperiorhealthplan.comHow do I contact Superior HealthPlan If I have star coverage?If you have STAR or CHIP coverage, call 1-800-783-5386 to get the answers you need. If you have any other type of coverage from Superior HealthPlan, you can find the right phone number below. Superior HealthPlan exists to improve the health of its members through our Medicaid, STAR, and CHIP programs.Phone Directory Contact Us Superior HealthPlansuperiorhealthplan.comFeedbackSuperior HealthPlanhttps://www.superiorhealthplan.com/providers/preauth-check.htmlPrior Authorization Superior HealthPlanWEB02/02/24. Effective March 1, 2024, Superior HealthPlan will no longer require prior authorization for certain genetic testing for Medicaid (STAR, STAR Health, STAR Kids, …

https://mmp.superiorhealthplan.com/benefits/prior-auth-part-c.html#:~:text=Either%20you%20or%20your%20doctor%20may%20request%20a,a%20prior%20authorization%20by%20phone%2C%20fax%20or%20web.

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Provider Forms Superior HealthPlan

(5 days ago) WEBBehavioral Health Disclosure of Ownership and Control Interest Statement (PDF) Behavioral Health Facility and Ancillary Credentialing Application (PDF) Behavioral …

https://www.superiorhealthplan.com/providers/resources/forms.html

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Texas Prescription Drug Coverage Superior HealthPlan

(8 days ago) WEBFor information regarding contracting as a network pharmacy please visit the Express Scripts website. To access the Texas Medicaid/CHIP Vendor Drug Program Prior …

https://www.superiorhealthplan.com/providers/resources/pharmacy.html

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REQUEST FOR PRIOR AUTHORIZATION - Superior HealthPlan

(9 days ago) WEBSuperior requires services be approved before the service is rendered. Please refer to SuperiorHealthPlan.com . for the most current full listing of authorized procedures and …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/SHP_2013218-PriorAuthForm-P.pdf

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REQUEST FOR DRUG - Superior HealthPlan

(7 days ago) WEBMEDICATION PRIOR AUTHORIZATION REQUEST FORM SUPERIOR HEALTH PLAN, TEXAS (*Do Not Use This Form for Biopharmaceutical Products*) FAX this completed …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/Non-Preferred-VDP-PA-Form.pdf

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Prior Authorization Texas Medicaid Superior HealthPlan

(6 days ago) WEBReview the information below to learn more about which services may need prior authorization approval before the service is provided. If you have any questions, please …

https://www.superiorhealthplan.com/members/medicaid/resources/prior-authorization.html

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Superior HealthPlan Pharmacy Quick Reference Guide

(4 days ago) WEBElectronic Prior Authorization (ePA) is available through the Cover My Meds prior authorization portal. CoverMyMeds is an easy and efficient way to complete …

https://www.superiorhealthplan.com/content/dam/centene/Superior/Provider/PDFs/pharmacy-qrg.pdf

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Phone Directory Contact Us Superior HealthPlan

(6 days ago) WEBIf you disagree with Superior’s internal health plan appeal decision, you also have the right to ask for an External Medical Review at the same time you request a State Fair …

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

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Provider Toolkit Prior Authorization Guide - Ambetter from …

(3 days ago) WEB1-877-687-1196. After normal business hours and on holidays, calls are directed to the plan’s 24-hour nurse advice line. Notification of authorization will be returned by phone, …

https://ambetter.superiorhealthplan.com/provider-resources/provider-toolkit/provider-toolkit-prior-authorization-guide.html

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Prior Authorization (Part C) - Superior HealthPlan

(6 days ago) WEBIf you are asking for a standard appeal or a fast appeal, make your appeal in writing or call us. You can submit a request to the following address: OR. FAX to: 1-844 …

https://mmp.superiorhealthplan.com/benefits/prior-auth-part-c.html

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Prior Authorization, Step Therapy and Quantity Limits - Superior …

(5 days ago) WEBPrior Authorization Criteria (PDF) - Updated December 1, 2023. Step Therapy Criteria (PDF) - Updated October 15, 2022. Quantity Limits - Refer to the List of …

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

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Coverage Determinations and Redeterminations for Drugs

(9 days ago) WEBSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) Medicare Pharmacy Prior Authorization Department P.O. Box 31397 Tampa, FL 33631-3397. Fax: 1-866-226-1093. Phone: Member Services . Doctors and Other Prescribers ONLY: Electronic Prior Authorization (ePA) at: Cover My Meds prior authorization portal

https://mmp.superiorhealthplan.com/prescription-drug-part-d/coverage-determinations-exceptions.html

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Mail Order Service - Superior HealthPlan

(6 days ago) WEBYou may register for our preferred Mail Order Service one of the following ways: Phone: CVS Caremark® Member Services at 1-866-808-7471 (TTY: 711) 24 …

https://mmp.superiorhealthplan.com/prescription-drug-part-d/mail-order-pharmacies.html

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Resources / Materials - Superior HealthPlan

(9 days ago) WEBThis decision or approval, sometimes called prior authorization, prior approval, or pre-certification, must be obtained prior to receiving the requested service. …

https://mmp.superiorhealthplan.com/resources.html

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Prior Authorization Requirements for Health Insurance Marketplace

(6 days ago) WEBContact information for all services that require prior authorization are included below: Prior Authorization Phone Numbers: Physical Health: 1-877-687 …

https://ambetter.superiorhealthplan.com/provider-resources/manuals-and-forms/prior-authorization-requirements-for-health-insurance-marketplac.html

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Pre-Auth Tool Ambetter from Superior HealthPlan

(Just Now) WEBCardiac, Sleep Study Management and Ear, Nose and Throat (ENT) procedures need to be verified by TurningPoint. Please contact TurningPoint by phone (1-855-336-4391) or fax …

https://ambetter.superiorhealthplan.com/provider-resources/manuals-and-forms/pre-auth.html

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Ambetter’s Pharmacy Program Ambetter from Superior HealthPlan

(Just Now) WEBPrior Authorizations. Some medications listed on the Ambetter from Superior HealthPlan PDL may require PA. The information should be submitted by the practitioner or …

https://ambetter.superiorhealthplan.com/resources/pharmacy-resources/pharmacy-program.html

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Content modified /content/ambetter-tx/en_us/provider …

(1 days ago) WEB/content/ambetter-tx/en_us/provider-resources/manuals-and-forms/prior-authorization-requirements-for-health-insurance-marketplac

https://ambetter.superiorhealthplan.com/provider-resources/manuals-and-forms/prior-authorization-requirements-for-health-insurance-marketplac

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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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Authorization to Disclose Health Information - Superior HealthPlan

(3 days ago) WEBCompleting this form will allow Superior HealthPlan to (i) use your health information for a particular purpose, and/or (ii) share your health information with the individual or entity …

https://www.superiorhealthplan.com/contact-us/authorization-to-use-and-disclose-health-information.html

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List of Drugs (Formulary) - Superior HealthPlan

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

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

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Authorization to Use and Disclose Health Information

(Just Now) WEBAviso para el afiliado: Al completar este formulario, le permitirá a Superior HealthPlan (i) utilizar su información de salud para un propósito específico y/o (ii) compartir su …

https://mmp.superiorhealthplan.com/content/dam/centene/Superior/mmp/pdfs/SHP_20217645-Auth-Disclose-PHI-Form-M-ES-508-03112021.pdf

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Ambetter Prior Authorization - Ambetter from Superior HealthPlan

(6 days ago) WEBThe table below includes the procedure codes that will no longer require prior authorization for Ambetter EPO and HMO members effective July 1, 2023. It is the …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/ambetter-prior-authorization.html

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