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Effective June 1, 2024: Elimination of Certain Laboratory Services Payment Policies

Date: 07/02/24

Superior HealthPlan has eliminated utilization of the following clinical payment policies in the adjudication of claims submitted with laboratory service codes applicable to each clinical payment policy. These policies are no utilized for claims submitted with applicable laboratory service procedural codes for claim service dates on and after June 1, 2024. As a result, the following policies are being removed from Superior’s Clinical, Payment and Pharmacy Policies webpage :

POLICY

EFFECTIVE DATE

APPLICABLE PRODUCTS

UPDATE

Helicobacter Pylori Serology Testing - CP.MP.153

June 1, 2024

Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan)

Policy Removal

Testing for Select Genitourinary Conditions - CP.MP.97

June 1, 2024

Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan)

Policy Removal

Polymerase Chain Reaction Respiratory Viral Panel Testing - CP.MP.181

June 1, 2024

Health Insurance Marketplace (Ambetter from Superior HealthPlan)

Policy Removal

Polymerase Chain Reaction Respiratory Viral Panel Testing - TX.CP.MP.181

June 1, 2024

Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP

Policy Removal

Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing - CP.MP.209

June 1, 2024

Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan)

Policy Removal

To review all policies, please visit Superior’s Clinical, Payment and Pharmacy Polices webpage.

For questions or additional information, please contact Superior Provider Services at: