Resources

Clinical Practice Standards for Therapy Documentation
Consumer Directed Services
ECI
Genetic Testing Authorization Required – Effective 6/1/2012
Home Health Agencies Attendant Services Bulletin
Limited Home Health Services – Effective 11/12/2012
NICU Admissions – Effective 2/1/2012
Obstetric Services J3490 Discontinued

Specialty Therapy Services FAQs

Therapy Notice

Texas Health Steps Quick Reference Guide
Texas Health Steps Screenings
Therapy Prior Authorization FAQs
Vaccine Policy
– Effective 1/1/2012

Claims
Billing Codes to Improve HEDIS Rates
Claim Edit List
Filing Deadline Calendar 2012-2013

Newborns Formerly Enrolled in CHIP Perinatal Program: Changes to Claim Submission and Payment – Effective 9/1/2012
Streptococcus Test Codes

Guides
Imaging Facilities Quick Reference Guide
Ordering Physicians Quick Reference Guide
Prior Authorization List
Ramp Manager Registration Process

Long Term Service and Support Providers (LTSS)
LTSS Claims Billed with Inappropriate Taxonomy Codes
– Effective 2/1/2012
LTSS Rate Change Notice – Effective 9/1/2011
LTSS Rate Enhancement Methodology – Effective 3/2/2012


Personal Care Services:

Effective September 1, 2012, Superior HealthPlan (SHP) will be responsible for authorization and payment of all Personal Care services (PCS) provided to STAR Health (Foster Care) Members.
PCS New Provider Notification

PCS Existing Provider Notification
PCS Current Foster Care Provider Notification


Private Duty Nursing

Addendum to Billing Methodology for PDN Multiple Ratio with Hospital Admission Event
– Effective 1/11/2012
Fee and Billing
– Effective 11/1/2011
Medical Criteria, Parameters for Medically Necessary Hours, and Exceptions Process – Revised 3/12/2012
Medical Criteria, Parameters for Medically Necessary Hours, and Exceptions Process – Effective 11/1/2011
Nurse to Child Ratio FAQ
Pre-Authorization Request Changes (Foster Care Only) – Effective 7/1/2010

STAR Health
90 Day No Authorization Notice
Cultural Sensitivity
Psychotropic Medication Parameters for Foster Children – 12/1/2010

 

 

– Indicates item has been posted or updated within the last 60 days.

/files/2012/03/flagred2.jpg