Skip to Main Content
Home
About Us
Find a Provider
Login
Newsroom
Careers
Contact
Language
English
Spanish
Tiếng Việt
中文
한국어
العربية
اردو
Tagalog
Français
हिंदी
فارسی
Deutsch
ગુજરાતી
Русский язык
日本語
ລາວ
Enter Keyword
Search
For Members
Health Insurance Marketplace Plans
Medicaid & CHIP Plans
Medicare-Medicaid Plan
Medicare Advantage Plan
For Providers
Find My Provider Representative
Network Request or Update
Prior Authorization
Provider Events
Provider News & Information
Provider Resources
Secure Portal Login
Training and Manuals
Get Insured
Supporting Texas Communities
Superior in the Community
Grants & Sponsorships
Upcoming Events
Giving Back
Find Community Resources
Find Community Relations Representatives
Login
Find a Provider
For Members
Health Insurance Marketplace Plans
Medicaid & CHIP Plans
Find a Provider
Health & Wellness
How to Apply
Login
Medicaid and CHIP Events
Member Handbooks
Member News
Member Resources
Plan Benefits, Services & Co-Pays
Value-added Services
Medicare-Medicaid Plan
Medicare Advantage Plan
For Providers
Find My Provider Representative
Network Request or Update
Change of Ownership (CHOW)
Add a Practice Location to an Existing Contract
Add a Product to an Existing Contract
Add a Provider to an Existing Group Contract
Network Status Inquiry Form
Request Network Participation, Non-Contracted Providers Only
Prior Authorization
Ambetter Prior Authorization
Medicaid and CHIP Prior Authorization
Medicare Prior Authorization
Wellcare By Superior HealthPlan (AIP)
Provider Events
Quarterly Provider Meetings
Provider News & Information
Provider Resources
Behavioral Health
Billing and Coding
Care Management
Clinical, Payment & Pharmacy Policies
Complaint Procedures
Durable Medical Equipment (DME)
EPSDT Provider Toolkit
Find My Provider Representative
Forms
Health Passport
Important Websites
Member Rights and Responsibilities
Nursing Facilities
Patient Centered Medical Home Model
Pharmacy
Practice Improvement Resource Center (PIRC)
Provider Toolkit
QI Program
STAR Kids
Updating Provider Demographic Information
Wellcare
Secure Portal Login
Training and Manuals
Model of Care Training
Provider Training Calendar
Behavioral Health Clinical Trainings
Get Insured
About Superior HealthPlan
Just the Facts
Careers
Superior HealthPlan News
Members First
Contact Us
Phone Directory
Authorization to Disclose
Complaint Form
Tech Support
Member Services FAQ
Newsroom
Effective March 1, 2024: Removal of Prior Authorization Requirement for Certain Genetic Procedures
Pneumococcal 20-Valent Conjugate Vaccine Age Range Expansion
Updated January 25,2024 : Texas Medicaid Preferred Drug List Updates
EVV Claims Matching Bypass from January 1 to March 31
EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV
Effective March 1, 2024: Pharmacy and Biopharmacy Policies
Apply Now: Home Health Aide Training Program
Now Available: HHSC Telemedicine and Telehealth Educational Video and Infographics
Test
Test Page January 1, 2024
3 in 30 Assessments for Foster Care Patients
UPDATED: STAR Kids LTSS Billing Matrix
STAR Health Trauma-Informed Care Alternative Payment Model
ACTION REQUIRED: Rate Enhancement
Provider Satisfaction Survey Save the Date
Medicare Member Plan Benefits Resumed for Applicable COVID-19 Testing, Screening, and Treatment Services
Effective August 1, 2023: Pharmacy and Biopharmacy Policies
Medicaid Inpatient Hospital Spell of Illness Policy Extension for COVID-19 Ending
Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success
Upcoming Hepatitis C Educational Webinar for Prescribers
RSV 2022
Upcoming EVV HHAeXchange Webinar
Effective May 1, 2024 Pharmacy and Biopharmacy Policies
Help Protect Your Patients and Your Community Against RSV
Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to Superior HealthPlan
Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP
Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies
Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville
Barrier Removal Fund (BRF) 2022 Initiative
Provider Notice of Adverse Benefit Determinations
Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnership’s (TMHP) Eligibility Verification Issues
Support for Superior HealthPlan Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
Support for Superior Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
Effective January 1, 2024: Retired Medicare Clinical and Clinical Payment Policies
Effective June 1, 2024: New Clinical Payment Policies: Infectious Disease - Lab Screening and Testing
Training Requirement: Model of Care
3 in 30 Assessments for Foster Care Patients
STAR+PLUS: Contract Award Updates
EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment
REQUIRED: After-Hours, Appointment and Office Site Standards
Availity to Host Live Training Webinars for Providers
IMPORTANT: Updates to HHAeXchange EVV Training Resources
Texas-based Superior HealthPlan Releases Annual Community Investment Report
Effective April 15, 2024: Cranial Molding Orthosis
Secure Portal: Manage Tasks Quickly and Easily
Effective March 25, 2024: Clinical Policies
Effective May 31, 2024: Clinical Policies
2023 – 2024 Respiratory Syncytial Virus (RSV) Season Changes
Effective June 1, 2024: Pharmacy and Biopharmacy Policies
Effective April 1, 2024: Pharmacy and Biopharmacy Policies
EVV Visit Transaction Rejection Codes to Begin April 1, 2024
members-rate-their-provider-experience-03262024
REQUIRED: Prior Authorization for Nursing Facility Add-On Therapy
NOW AVAILABLE: HHS Briefing on Change Healthcare
Drug Take Back April 2024
Health Passport Requirements for Behavioral Health Providers Serving STAR Health Members
April 27: Drug Take Back Day
Resolving Payment Discrepancies on Claims
Effective 04/22/24: Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies Online Platform
NEW: Partnership and Appointment Platform with Grow Therapy
Access Behavioral Health Tools and Resources
Billing EVV Services as Secondary Insurance Claims
NEW: Change Healthcare Availity and Zelis Processes
Updated EVV Home Health Care Services Bill Codes Table
UPDATED: Timeframe for Clinical Information for Acute Inpatient Facility Providers
ACTION REQUIRED: CMS Annual Drug Utilization Review Survey for FFY 2023
PROHIBITED: Balance Billing
Register for Upcoming LTSS Recruitment and Retention Webinar
Effective August 1, 2024: Prior Authorization for Certain Genetic Procedure Codes
Effective May 1, 2024: Pharmacy and Biopharmacy Policies
ACTION REQUIRED: Confirm Your Provider Information is Accurate
Attention: Providers in the Travis Service Delivery Area
Now Available: Trainings for Hospital Providers
EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15
Effective May 1, 2024: Removal of Prior Authorization Requirement for Certain Medical Eye Procedures
Updates to the EVV Visit Maintenance Processes Hold for Dates of Service Prior to Go-Live Date
AcariaHealth Remains In-Network and a Preferred Specialty Pharmacy
Effective July 1, 2024: Pharmacy and Biopharmacy Policies
Effective August 1, 2024: Clinical Policies
Do Your Patients Understand Their Rights and Responsibilities?
Superior HealthPlan Employees Show Support for March of Dimes in Austin
Asthma Awareness Month: Inclusion of National Guidelines into Clinical Practice
Secure Portal: Manage Tasks Quickly and Easily
ATTENTION LTSS PROVIDERS: 2023 Cost Report Due to HHSC by 5/15
Provider Credentialing Information and Rights
EVV Compliance Grace Period Extended
Effective August 1, 2024: Pharmacy and Biopharmacy Policies
Effective June 1, 2024: Pharmacy and Biopharmacy Policies
Effective May 22, 2024: Clinical Policies
Effective May 27, 2024: Clinical Policies
Effective June 28, 2024: Clinical Policies
Effective July 31, 2024: Clinical Policies
Effective June 1, 2024: Revised Payment Policy: Code Editing Overview
Ascension Cybersecurity Incident Provider Accommodations
Provider Training Opportunities and Special Events
EVV PSO 2024 Onboarding Schedule and Enrollment Information
IMPORTANT: Updates to the Provider Statement of Need Form
3 in 30 Assessments for Foster Care Patients
HHSC STAR+PLUS Upcoming Webinars
June 13: Hepatitis C Webinar for Prescribers
Care Management: Helping Providers Assist Superior Members
Effective 9/1: STAR+PLUS Contract Changes
2024 EVV Proprietary System Request Form Submission Deadline July 15, 2024
Adding Behavioral Health Providers to Maternal Mental Health Treatment Network
Training Requirement: Model of Care
Effective July 1, 2024: Pharmacy and Biopharmacy Policies
Effective September 1, 2024: Pharmacy and Biopharmacy Policies
IMPORTANT: Billing Notice to Behavioral Health Providers
2023 Cost Report Training Information for LTSS Providers
Effective October 1, 2024: Prior Authorization Update for New CPT Codes
Reminder: EVV Home Phone Landline Requirements
Effective June 1, 2024: Elimination of Certain Laboratory Services Payment Policies
Effective 10/1/24: Co-pays will Resume for CHIP COVID-19 Services
IMPORTANT: Medical Records Retrieval Project
Home Telemonitoring Services Adding Federally Qualified Health Centers and Rural Health Clinics
Important Cultural Competency, Health Equity and NMDOH Resources
REQUIRED: After-Hours, Appointment and Office Site Standards
Effective October 31, 2024: Clinical Policies
Effective September 30, 2024: Clinical Policies
Effective July 22, 2024: Clinical Policies
Effective October 1, 2024: Pharmacy and Biopharmacy Policies
Upcoming LTSS Recruitment and Retention Webinar
Provider Satisfaction Survey
Upcoming Provider Satisfaction Survey
EVV Policy Reminder for Severe Weather
Effective 9/1/24: Procedure Code Update for Dental Anesthesia Prior Authorization Requests
Additional 2023 CPC Cost Report Training Information for LTSS Providers
Effective 10/31/24: Behavioral Health – Substance Use Disorder Treatment Criteria
Effective 7/25/24: Texas Medicaid Preferred Drug List Updates
Effective November 11, 2024: Clinical Policies
New and Revised Clinical Payment Policies and Code Editing Payment Policy Reminder for Marketplace
Requirements for Claim Submissions
NEW: Provider Tool for Enhancing Care for those with IDD and Communication Barriers
Effective 9/1/24: Genetic Services Biomarker Testing
Tips for your Practice: Chlamydia Screening Recommendations
Healthcare Resources and Alternatives to Use in Your Practice
Effective September 1, 2024: Pharmacy and Biopharmacy Policies
Effective November 1, 2024: Pharmacy and Biopharmacy Policies
ACTION REQUIRED: Rate Enhancement Affidavit
IMPORTANT INFORMATION: For Providers in the Bexar SDA
Effective 9/1/24: Influenza Vaccine Procedure Code Becomes a Benefit of Texas Medicaid
Improving Health through Quality Improvement
Clarification: Lumbar Sacral Orthotics Criteria
Effective 10/1/24: COVID-19 Vaccine Administration Updates for Medicaid and CHIP
IMPORTANT: STAR+PLUS Authorization for Services that Require the Use of EVV
IMPORTANT: CDI Upcoming Webinars
Support for Superior HealthPlan Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
REMINDER: Updated TAC References in CDS Forms
HHSC REMINDER: Postpartum Medicaid and CHIP Coverage Extension
Effective December 1, 2024: Pharmacy and Biopharmacy Policies
Effective December 1, 2024: Pharmacy and Biopharmacy Policies
Resource for Members: Pyx Health
REGISTER NOW: In-Person Trauma-Focused Cognitive Behavioral Therapy Training
Effective 9/1: STAR+PLUS MCO-to-MCO Transfer of Authorizations
Effective September 23, 2024: Clinical Policies
Effective 10/01/24: RSV Vaccine Procedure Code 90683 Becomes a Benefit of Texas Medicaid
EVV Compliance Grace Period Ends December 31
NEW: HHSC EVV Policy Handbook Revisions
2024-2025 RSV and Synagis® Season Prior Authorization
Effective November 1, 2024: Pharmacy and Biopharmacy Policies
Effective January 1, 2025: Pharmacy and Biopharmacy Policies
Update to Unit Limitations for Certain Medical Supplies
Effective February 1, 2025: Clinical Policies
EVV Alternative Device Reduction Schedule
COPD Awareness Month: Tips, Tools, and Resources
Reminder: Medicaid Third Party Liability Provider Requirements
REQUIRED: Adult Foster Care Residential Agreement Checklist
Effective 12/27/24: OnTrak Partnership Ends
Effective December 1, 2024: Pharmacy and Biopharmacy Policies
Effective November 25, 2024: Clinical Policies
Effective January 31, 2025: Clinical Policies
Effective 12/1/24: Certain Non-Surgical Services Procedure Codes Updates
Training Requirement: Model of Care
REMINDER: EVV Compliance Grace Period Ends December 31
EVV PSO ORR Sessions Updates
Effective September 1, 2024: Pharmacy and Biopharmacy Policies
Effective October 1, 2024: Pharmacy and Biopharmacy Policies
IMPORTANT: HHSC Medicaid Provider Enrollment Revalidation Flexibilities
Effective January 1, 2025: Pharmacy and Biopharmacy Policies
Effective March 1, 2025: Pharmacy and Biopharmacy Policies
Payment Policy Posting and Updates
Effective April 1, 2025: Sleep Studies Clinical Policies
Effective March 31, 2025: New and Revised Clinical Payment Policies
Notice to Physicians and Providers
Effective 1/30/2025: Texas Medicaid Preferred Drug List Updates
2024 Cost Report Training Information for LTSS Providers
Support for Superior HealthPlan Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
IMPORTANT: Post-Service Medical Necessity Appeal Submissions
2025 Medicare and MMP Formulary Changes
Same-Day Texas CANS 3.0 Assessments and Psychological and Neuropsychological Testing for STAR Health
Medicare Prescription Payment Program
Effective April 30, 2025: Clinical Policies
Effective January 27, 2025: Clinical Policies
Effective March 31, 2025: Clinical Policies
Effective April 20, 2025: Clinical Policies
Effective April 20, 2025: Concert Genetic Testing Policies
Superior HealthPlan Recognized as a Best Place for Working Parents® in Texas
Effective 4/1/25: HHSC Revisions to the Uniform Opioid Policy
Effective May 1, 2025: Pharmacy and Biopharmacy Policies
Effective March 1, 2025: Pharmacy and Biopharmacy Policies
Effective May 1, 2025: Pharmacy and Biopharmacy Policies
Support for Superior HealthPlan Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
Effective March 1, 2025: New Medicaid Benefit - Certified Family Partner Services
Important Resource for Hospital Providers
Effective April 7, 2025: Pharmacy Coverage Updates for COVID-19 Test Kits and Vaccines
3/12/25 UPDATE: HHSC EVV Policy Handbook Revisions
Important Resources for Providers
Effective June 1, 2025: Pharmacy and Biopharmacy Policies
Effective April 1, 2025: Pharmacy and Biopharmacy Policies
Effective April 1, 2025: Removal of Prior Authorization Requirement for Certain Sleep Studies
Members Rate Their Provider Experience
Effective March 31, 2025: Clinical Policies
Effective May 30, 2025: Clinical Policies
Tango-WellSky Partnership with Centene to Support Medicare Members
Effective July 1, 2025: Changes to Prior Authorization Requirements for Cardiology Services and Procedures
Cardiology Procedures: Transition of Utilization Review from TurningPoint to Evolent Effective for Service Dates beginning July 1, 2025
Important Notice: Enforcement of Claim Filing Guidelines
Effective July 1, 2025: New Payment Policy: Inpatient Claim Billing/Coding Reviews
Upcoming Provider Satisfaction Survey
Coming Soon: PEMS Update to Allow Provider Credentialing
Effective July 1, 2025: Revised Payment Policy: Genetic and Molecular Testing Services
Effective May 1, 2025: Pharmacy and Biopharmacy Policies
Effective July 1, 2025: Pharmacy and Biopharmacy Policies
REQUIRED: 2024 Cost Reports for LTSS Providers
Effective August 1, 2025: New Prior Authorization Requirement for Certain Neurostimulators
Effective August 1, 2025: Clinical Policies
Effective August 1, 2025: Genetic Testing PLA Expansion
LTCOP Transitioning from RUG to PDPM LTC for Nursing Facilities
Effective July 15, 2025: Pharmacy and Biopharmacy Policies
Effective July 31, 2025: Clinical Policies
POSTPONED: Update to Allow Submission of Provider Credentialing Applications through HHSC’s PEMS for Medicaid and CHIP
Reminder: Tango-WellSky Partnership with Centene to Support Medicare Members
Change in Preferred Drug List Status for Glucocorticoids - Inhaled Drug Class Began on May 6, 2025
Effective May 20, 2025: Clinical Policies
Now Available: HHAeXchange EVV System Survey
Separate Reimbursement of Certain Inpatient High-Cost Drug and Biologics
IMPORTANT NOTICE: Rider 32 Implementation Information
Effective June 1, 2025: Pharmacy and Biopharmacy Policies
Effective August 1, 2025: Pharmacy and Biopharmacy Policies
Superior HealthPlan Awards $200,000 in Grants to 20 Community-Based Organizations and Providers
Effective June 30, 2025: Superior HealthPlan to Discontinue Tomorrow Health DME-POS Pilot Program for Members in Bexar Service Delivery Area
ATTENTION SUPERIOR HEALTHPLAN PROVIDERS:
REMINDER: Ambetter Health Solutions Now Available
NEW RESOURCE: Quality Rating System (QRS) Behavioral Health Measure Toolkit
IMPORTANT: MHTCM and MHR Services Provider Attestation Requirements for State Fiscal Year 2026
Apply Now: Home Health Aide Training Program for STAR+PLUS Providers
IMPORTANT: Update on ELEVIDYS for Non-Ambulatory Clients
Effective July 1, 2025: Pharmacy and Biopharmacy Policies
Effective September 1, 2025: Pharmacy and Biopharmacy Policies
UPDATED NOTICE: Rider 32 Implementation Information
Effective September 30, 2025: New Prior Authorization Requirement for Certain Bathroom Commode Chairs
Effective October 1, 2025: New Prior Authorization Requirement for Certain Genetic and Molecular Testing
Effective October 1, 2025: New Prior Authorization Requirement for Certain Chronic Wound Skin and Soft Tissue Substitutes
Important Reminders for HHAeXchange Customer Support Requests
Support for Superior Members Affected by Severe Weather
Clarification: Sleep Study Procedures for Members 17 Years of Age and Younger
REGISTER NOW: In-Person Trauma-Focused Cognitive Behavioral Therapy
Effective 7/28/2025: Texas Medicaid Preferred Drug List Updates
Rider 32 Implementation Reminder
Essential Tools and Resources for Comprehensive, Patient-Centered Care
IMPORTANT: Compliance with U.S.-Only Performance and Data Handling Requirements
Effective September 15, 2025: Clinical Policies
Effective August 1, 2025: Removal of Prior Authorization Requirement for Certain Genetic and Molecular Testing
Effective August 1, 2025: Pharmacy and Biopharmacy Policies
Effective October 1, 2025: Pharmacy and Biopharmacy Policies
Effective October 1, 2025: New Prior Authorization Requirement for Certain Genetic and Molecular Testing
Pharmacy Benefit Updates Related to July 2025 Hill Country and Central Texas Flooding
Effective July 31, 2025: Clinical Policies
REQUIRED: Nursing Facility Liability Insurance Rate Add-on Provider Attestation Due by July 31
Effective September 1, 2025: HHSC Discontinuation of Attendant Compensation Rate Enhancement
Effective September 1, 2025: Change in Rate Methodology to Patient Driven Payment Model Long-Term Care for Assisted Living Facility Providers
Effective October 31, 2025: Clinical Policies
Superior HealthPlan Invests $18 Million in Over-the-counter Items in 5 Years for Texas Members
Effective August 11: New Availity Webinar Sessions
NEW: Behavioral Health Follow-Up Measures Tip Sheet
Effective October 15, 2025: Transition of Utilization Review for Automatic External Defibrillator
Updates Regarding 2025-2026 Respiratory Syncytial Virus (RSV) Ordering
Register Now: Equip Advancing & Uniting the Eating Disorder Conversation
Effective November 1, 2025: Pharmacy and Biopharmacy Policies
Effective August 1, 2025: Pharmacy and Biopharmacy Policies
Effective September 1, 2025: EVV Standalone Alternative Device Policy
2025 Texas Flooding: Appeal and Continuation of Benefit Request Extensions
ATTENTION: Behavioral Health Partial Hospitalization Program and Intensive Outpatient Program Billing Code Update
IMPORTANT: Authorization Extensions Available for Texas Medicaid/CHIP Enrolled Flood Victims through 09/29/25
System Upgrade and Outage Scheduled for October 10, 2025
Effective November 30, 2025: Clinical Policies
Effective December 31, 2025: Clinical Policies
Effective October 31, 2025: Clinical Policies
Effective October 1, 2025: Pharmacy and Biopharmacy Policies
Effective December 1, 2025: Pharmacy and Biopharmacy Policies
2025-2026 FDA-Approved Flu Treatment Options
Effective September 30, 2025: Clinical Policies
IMPORTANT: Sending Authorization Forms to the Correct Fax Number Based on Member Insurance
Effective January 1, 2026: New Payment Policy: Newborn Inpatient Stays
Effective November 1, 2025: Clinical Policies – Private Duty Nursing
Effective November 1, 2025: Private Duty Nursing Modifiers
Effective November 1, 2025: Pharmacy and Biopharmacy Policies
Effective January 1, 2026: Pharmacy and Biopharmacy Policies
Discontinuance of HCPCS Bundle Code 80050: Effective 1/1/26
Upcoming HHAeXchange Webinars
HHSC Notice: Register for an Annual EVV Policy Training Webinar
Medicare Telehealth Coverage
LARC Buyback Program
Effective February 1, 2026: Revised Payment Policy: Leveling of Care: Emergency Department Evaluation and Management Over-coding for Professional Services
Effective February 1, 2026: Revised Payment Policy: Leveling of Care: Office-Based Evaluation and Management Over-coding
Effective 11/1/25: Modifiers Added to LTSS Authorizations
IMPORTANT: Pharmacy Resources Available to Providers
Effective February 9, 2026: Clinical Policies
Effective December 8, 2025: Bariatric Surgical Procedures
DME Attestation Requirement for Ordering Physicians
Effective December 1, 2025: Pharmacy and Biopharmacy Policies
Effective February 1, 2026: Pharmacy and Biopharmacy Policies
Effective November 26, 2025: Clinical Policies
Effective January 30, 2026: Clinical Policies
Effective December 31, 2025: Clinical Policies
Developmental Screening in the First Three Years of Life (DEV) Measure
Effective February 27, 2026: New Prior Authorization Requirement for Certain New Procedure Codes
Effective January 1, 2026: EVV Impacts due to Discontinued Dual Demonstration Pilot Program
Upcoming Live Availity Training for Doula Providers
3 in 30 Assessments for Foster Care Patients
COPD Awareness Month: Tips, Tools, and Resources
2026 EVV PSO Onboarding Schedule is Now Available
Effective January 1, 2026: Removal of Prior Authorization Requirement for Certain Procedures
COVID-19 Vaccine Availability Information
Effective March 1, 2026: New Clinical Policy for Mental Health Rehabilitative Services and Mental Health Targeted Case Management
NEW: Provider Representative Contact Form and Network Status Inquiry Form
Effective 3/1/26: New Prior Authorization Requirement for MHR/MHTCM Services
Prior Authorization Requirements for Joint Injections and Trigger Point Injections
Rider 32 – Continuity of Care
Effective March 1, 2025: Pharmacy and Biopharmacy Policies
Effective January 1, 2026: Pharmacy and Biopharmacy Policies
Effective 4/1/26: New Prior Authorization Requirement for Certain Procedure Codes
4/1/26: Important Wellcare Prior Authorization Updates
2026 MHR/TCM Provider Center of Excellence Application Process
HCPCS Annual Update Coming January 2026
Providers Required to Distribute Newborn Medicaid Coverage Information
Notice to Physicians and Providers
End-Stage Renal Disease Eligibility and Evidence Report
Effective April 8, 2026: Clinical Policies
REQUIRED: Is Your Practice Information Accurate?
Training Requirement: Model of Care
Effective April 20, 2026: Clinical Policies
Effective February 1, 2026: Pharmacy and Biopharmacy Policies
Effective January 30, 2026: Clinical Policies
Effective March 31, 2026: Clinical Policies
HHSC Currently Seeking Members for Three Advisory Committees
Health Passport Requirements for Behavioral Health Providers Serving STAR Health Members
Effective April 1, 2026: Clinical Polices
Effective 3/31/26: New Prior Authorization Requirement for Certain Neurostimulators
Effective 1/30/2026: Texas Medicaid Preferred Drug List Updates
IMPORTANT: Medical Records Retrieval Project
Superior HealthPlan Publishes 2025 Community Investment Report
NOTICE: Medicaid and CHIP Providers Billing Laboratory Services Subject to CLIA Certification Requirements
IMPORTANT: Provider Engagement Phone Decommission
IMPORTANT: PCP Change Requests
Members Rate Their Provider Experience
Upcoming Provider Satisfaction Survey
Effective April 1, 2026: Removal of Prior Authorization Requirement for Certain Procedures
Effective March 1, 2026: Pharmacy and Biopharmacy Policies
Preferred Provider for Incontinence Supplies
3 in 30 Assessments for Foster Care Patients
IMPORTANT: Pharmacy Resources Available to Providers
Accuracy Matters: Is Your Info Up-to-Date?
April 25: Drug Take-Back Day
Access Behavioral Health Tools and Resources
Effective June 1, 2026: Pharmacy and Biopharmacy Policies
Effective April 1, 2026: Pharmacy and Biopharmacy Policies
Effective March 31, 2026: Clinical Policies
Effective May 29, 2026: Clinical Policies
Effective for April 1, 2026 Dates of Service: Removal of Prior Authorization Requirement for Certain Interventional Cardiology and Diagnostic and Cardiac Radiology Procedures
REMINDER: STAR Health Trauma-Informed Care Alternative Payment Model
Effective 4/1/26: Authorization Requirements for Medicaid and CHIP Coordination of Benefits Claims
Effective 8/1/26: New Prior Authorization Requirement for Speech Therapy Evaluations
Effective 7/1/26: Change in the Utilization Review Agent for Physical, Occupational and Speech Therapy Services for STAR, STAR+PLUS and CHIP members
REQUIRED: After-Hours, Appointment and Office Site Standards
Effective 07/01/26: New Prior Authorization Requirement for Mandibular Advancement Device
New Login Process Through TMHP IAMOnline and Provider MFA Registration
New Payment Policy: Leveling of Care: Emergency Department Evaluation and Management Over-coding for Professional Services
Revised Implementation Date: New Payment Policy - Leveling of Care: Emergency Department Evaluation and Management Over-coding for Professional Services
Revised Implementation Date: New Payment Policy: Leveling of Care: Office-Based Evaluation and Management Over-coding
New Payment Policy: Leveling of Care: Office-Based Evaluation and Management Over-coding
Prohibited: Balance Billing
UPDATED: Timeframe for Clinical Information for Acute Inpatient Facility Providers
Events
(Webinar) Wellcare By Allwell (Medicare Advantage)
(Webinar) Cultural Competency and Disability Sensitivity Training
(Webinar) STAR/CHIP/STAR+PLUS
(Webinar) STAR Kids Long-Term Service and Supports (LTSS) Billing Clinic
(Webinar) Hospital Provider Training
(Webinar) Hospital Flash Trainings-Medical Necessity Appeals
(Webinar) Hospitals Flash Trainings-Superior's Secure Portal-Locating an EOP
(Webinar) Hospital Flash Trainings-Prior Authorization Submissions
(Webinar) Meet WellCare
(Webinar) Hospitals Flash Trainings-Superior's Secure Portal-Locating an EOP
(Webinar) Hospital Flash Trainings-Prior Authorization Submissions
(Webinar) Meet WellCare
(Webinar) Hospital Provider Training
(Webinar) Hospital Flash Trainings-Prior Authorization Submissions
(Webinar) Hospital Flash Trainings-Medical Necessity Appeals
(Webinar) Hospitals Flash Trainings-Superior's Secure Portal-Locating an EOP
(Webinar) Meet WellCare
(Webinar) Hospital Provider Training
(Webinar) MHRTCM Annual Attestation Packet Training
(Webinar) MHRTCM Program Training
(Webinar) MHRTCM Program Training
(Webinar) Superior Nursing Facility Training
(Webinar) MHRTCM Annual Attestation Packet Training
(Webinar) MHRTCM Annual Attestation Packet Training
(Webinar) Long-Term Service and Supports (LTSS) Billing Clinic
(Webinar) Health Passport (STAR Health)
(Webinar) Secure Provider Portal Training
(Webinar) Health Passport (STAR Health)
(Webinar) Behavioral Health Billing Clinic
(Webinar) STAR Kids Long-Term Service and Supports (LTSS) Billing Clinic
(Webinar) STAR Kids
(Webinar) Comprehensive Billing Clinic
(Webinar) Electronic Visit Verification (EVV)
(Webinar) STAR Health
(Webinar) Cultural Competency and Disability Sensitivity Training
(Webinar) STAR/CHIP/STAR+PLUS
(Webinar) Wellcare By Allwell (Medicare Advantage)
(Webinar) Wellcare By Superior HealthPlan (FIDE SNP)
(Webinar) Superior Nursing Facility Training
(Webinar) Secure Provider Portal Training
(Webinar) Ambetter from Superior HealthPlan
(Webinar) Secure Provider Portal Training
(Webinar) Ambetter from Superior HealthPlan
(In Person) Bexar: Provider Advisory Group
(In Person) Harris/Jefferson: Provider Advisory Group
Statewide: Clinical and Administrative Advisory Committee
Statewide: Clinical and Administrative Advisory Committee
(Webinar) MHRTCM Annual Attestation Packet Training
(Webinar) MHRTCM Annual Attestation Packet Training
Privacy Policy
Terms & Conditions
Notice of Privacy Practices
Supporting Texas Communities
Superior in the Community
Grants & Sponsorships
Grants & Sponsorships
Upcoming Events
Community Events
Giving Back
Find Community Resources
Find Community Relations Representatives
Find Community Relations Reps
SEARCH
MENU
Go!
Home
About Us
Find a Provider
Login
Newsroom
Careers
Contact
Language
English
Spanish
Tiếng Việt
中文
한국어
العربية
اردو
Tagalog
Français
हिंदी
فارسی
Deutsch
ગુજરાતી
Русский язык
日本語
ລາວ
Medicaid & CHIP Plans
Find a Provider
Health & Wellness
Asthma Help
Autism Help
Behavioral Health
Behavioral Health Toolkit
Care Management & Service Coordination
Diabetes Help
Disease Management
Flu Prevention
Opioids and Chronic Pain
Start Smart for Your Baby
Get Started
Start Smart for Your Baby® Program
Our Care Management Program
Prenatal Care
Postpartum and Newborn Care
Staying Smart with Your Health
Texas Health Steps
Well Visit
Wellframe Care App
Wellness on Demand
How to Apply
Renewing Benefits
Login
Medicaid and CHIP Events
Member Handbooks
Member News
Member Resources
Advance Directive
Caregiver Resources
Organizational Tools
Support Resources
Training
Complaints and Appeals
Consumer Directed Services (CDS)
Get Help Applying for SSI or SSDI
Helpful Forms & Links
Interoperability and Patient Access
LGBTQ+ Resources
Member Advisory Group
Member Coverage
Member Mobile App and Portal
Member Rights and Responsibilities
Members Tips
Member Welcome Packet
CHIP Welcome
STAR Welcome
STAR Health Welcome
STAR Kids Welcome
STAR+PLUS Welcome
Prior Authorization
Quality Improvement Program
Reporting Fraud, Waste and Abuse
Telehealth
Transportation
Where to Go for Care
Plan Benefits, Services & Co-Pays
CHIP
CHIP Perinate
STAR (Medicaid)
STAR+PLUS
Nursing Facilities
STAR Health
STAR Kids
Pharmacy
Over-the-Counter Mail-Order Program
Community First Choice
Value-added Services
Rewards Program
Thank You
Thank you for your response.
