IMPORTANT: Provider Statement of Need Diagnosis Requirement

Date: 11/16/23

As a reminder, the Texas Health and Human Services Commission (HHSC) requires a practitioner’s signature certifying that patient has a medical diagnosis and at minimum one functional limitation related to that diagnosis. More information can be found in the HHSC STAR+PLUS Handbook, section 1143.1.3 STAR+PLUS Personal Assistance Services (PAS) Practitioner’s Statement of Need (PSON).

The PSON forms must be completed in full and faxed to Superior HealthPlan. The following resources can be found on Superior’s Forms webpage:

• Provider Statement of Need Frequently Asked Questions (PDF)
• Provider Statement of Need – STAR Kids and STAR Health (PDF)
• Provider Statement of Need – STAR+PLUS and STAR+PLUS (MMP) (PDF)

Please Note: Failure to return the completed PSON form may result in the delay in initiation or continuation of services for members.

If you have questions about the PSON requirement or forms, please contact Superior’s Service Coordination department at:

• 1-844-433-2074 – STAR Kids
• 1-866-912-6283 – STAR Health
• 1-877-277-9772 – STAR+PLUS
• 1-855-772-7075 – STAR+PLUS Medicare-Medicaid Plan (MMP)