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Effective July 6, 2022: New Fax Number for Pharmacy Prior Authorization Requests

Date: 06/27/22

Superior HealthPlan is continuously looking for ways to provide better service for our Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) and CHIP and Ambetter from Superior HealthPlan members. In this continued pursuit, Superior is working with the Pharmacy Benefit Manager (PBM), Envolve Pharmacy Solutions, to streamline the prior authorization process to ensure members have drug authorization request(s) reviewed timely and efficiently.

On July 6, 2022, Superior will be moving to a new fax number for Medicaid/CHIP pharmacy prior authorization requests: 1-833-423-2523. On the effective date, the updated Prior Authorization Request Form will be added to the Medicaid Provider Resources Forms webpage to contain the new fax number.

There has been no change in the current electronic Prior Authorization (ePA) process. Please continue to utilize CoverMyMeds to submit ePA requests. Additionally, at this time there will also be a change to the PA request fax number for Ambetter members. The new fax number for Ambetter pharmacy prior authorization requests will be 1-800-977-4170.

For any questions, please contact Envolve Pharmacy Solutions Member Services 1-800-460-8988.