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2026 MHR/TCM Provider Center of Excellence Application Process

Date: 12/29/25

Superior HealthPlan is pleased to announce the opening of the application period for providers to receive the designation as a Mental Health Rehabilitation/Targeted Case Management (MHR/TCM) Provider Center of Excellence. This initiative aims to recognize and reward Non-Local Mental Health Authority (LMHA) MHR/TCM providers who consistently deliver high-quality services to Superior members. Qualified providers will have the opportunity to bypass prior authorization for MHR/TCM services, which will be implemented on March 1, 2026.

Application Timeline

Applications for the MHR/TCM Provider Center of Excellence will be accepted from January 1, 2026, through February 15, 2026.

Submission Instructions

Interested applicants must meet the Eligibility Requirements and submit a proposal containing all required documentation below. Submission must be sent via email to MHRTCMAttestations@SuperiorHealthPlan.com.

Please ensure all documents are complete and clearly address each component outlined in the Application Components and Foster Care Requirements sections below, as applicable. Incomplete or improperly submitted applications will not be considered for the MHR/TCM Center of Excellence designation.

Eligibility Requirements

To be considered, organizations must meet the following criteria:

  • Be fully attested and in good standing with Superior.
  • Have successfully passed the two most recent Superior provider audits, achieving an average score of at least 80% for documentation and 95% for claims.

Application Components

Each application must include comprehensive documentation addressing the following areas:

  • Trauma Informed Care: A detailed description of the organization’s implementation of trauma informed care treatment.
  • Curriculum and Assessment Fidelity: Documentation demonstrating fidelity to the MHR/TCM curriculum and adherence to Child and Adolescent Needs and Strengths (CANS) and/or Adult Needs and Strengths Assessment (ANSA) recommendations.
  • Utilization Management: A written policy and procedure outlining how clinical decisions are made for each member’s service needs in accordance with the Texas Resilience and Recovery Utilization Management Guidelines’ standard and high need recommendations per Level of Care (LOC). This should also specify how deviations from the assessed LOC are managed, with an emphasis on a person-centered approach.
  • Quality Management: A written policy and procedure describing the measures used to assess and enhance the organization’s quality and its ability to improve member outcomes. Additionally, a summary of current positive outcomes must be provided.

Foster Care Requirements

For organizations serving members in Foster Care:

  • A written policy for assessing and monitoring psychotropic medications, including procedures for referring members to prescribers for a second opinion, utilizing Child Psychiatry Access Network (CPAN), and other relevant options when medication-related concerns arise.
  • Completion of Department of Family and Protective Services (DFPS) background checks for all staff who work directly with STAR Health members.

If you have any questions, please email: MHRTCMAttestations@SuperiorHealthPlan.com.