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Effective December 8, 2025: Bariatric Surgical Procedures

Date: 11/07/25

Superior HealthPlan will utilize the Texas Medicaid Provider Procedures Manual as the medical necessity review criteria for Bariatric Surgical Procedures for Superior Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) members effective December 8, 2025.

Superior ensures medical necessity review criteria are current and appropriate for members and the scope of services provided.

Procedure

Applicable Products

Criteria

Bariatric Surgical Procedures

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

Texas Medicaid Provider Procedures Manual

To review prior authorization requirements, please visit Superior’s Prior Authorization webpage.

For questions or additional information, contact Superior’s Prior Authorization department at 1-800-218-7508.