Preferred Therapy Provider Program Change
Date: 09/22/21
Effective November 1, 2021, the Preferred Therapy Provider Program with Care Options for Kids (COFK) is concluding for providers who serve Superior HealthPlan Medicaid (STAR, STAR Health, STAR+PLUS) and CHIP members in the Travis and Central service delivery areas. This update will require all treatment providers to submit a prior authorization request for therapy treatment services beginning on or after November 1, 2021.
As a reminder, the requirement to obtain a prior authorization for therapy initial evaluation and re-evaluations (physical, occupational and speech therapy) was removed June 1, 2021, providing Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP and STAR+PLUS Medicare-Medicaid Plan (MMP) members immediate access to care from providers of their choice.
Please note, for any therapy services scheduled on or after November 1, 2021:
- Providers can continue using COFK for therapy (evaluation and/or treatment) services, however treatment services will require prior authorization.
- To request therapy services through COFK, please:
- Call: 1-800-219-7012
- Email: ProviderSupport@COFK.com
- Dedicated fax lines:
- MRSA Central Texas Service Delivery Areas: 1-254-296-9086
- Travis Service Delivery Area: 1-512-852-4485
- Lubbock Service Delivery Area: 1-806-300-0230
- Dallas County and Tarrant County Service Delivery Areas: 1-972-756-0448
- To request therapy services through COFK, please:
- Providers can also obtain prior authorization for therapy treatment services through National Imaging Associates (NIA) for STAR and CHIP members.
- To request therapy services through NIA, please:
- Visit: RadMD.com
- Call: 1-800-642-7554
- To request therapy services through NIA, please:
To review prior authorization requirements, please visit Superior’s Prior Authorization webpage.
If you have any questions, please reach out to your local Account Manager or call Provider Services at 1-877-391-5921.