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Provider News & Information

9/4/18 Provider Newsflash

  • New Prior Authorization Process Using CoverMyMeds 
  • RSVP Required: Your Expertise is Requested
  • Reporting Requirement: Abuse, Neglect and Exploitation
  • NEW: INCENTIVE PROGRAM 
  • REVISED: EVV POLICY

8/21/2018 Provider Newsflash

  • EVV Claims May Be Denied or Recouped 
  • How to Ensure Medication Adherence 
  • Patient Safety and Satisfaction with QAPI
  • NEWS ALERTS: CUSTOMIZED TO YOU 
  • NEW: RIDE SHARE PROGRAM FOR ALLWELL

8/7/2018 Provider Newsflash

  • Updated Prior Authorization Form 
  • IMPORTANT NOTICE: Medicaid Program Enrollment by 9/1
  • How Superior Evaluates Medical Necessity and Standards of Care
  • REVISED: PROVIDER STATEMENT OF NEED FORM 
  • NEW: OPIOID PRESCRIBING LIMITS

7/24/18 Provider Newsflash

  • NEW: Opioid Toolkit for Providers 
  • Changes to Superior's Preferred Provider Program
  • Reduce Health-Care Costs and Improve Care
  • EFFECTIVE 7/26: PREFERRED DRUG LIST UPDATES 
  • HHSC POLICY REVISION FOR EVV  

7/19/18 Medicaid News

  • Are Your Claims Being Denied? 
  • Improve Your Quality Scores This Summer 
  • How to be a Leader in Cultural Competency
  • Must-Have Medicaid Resources and Tools

7/10/18 Provider Newsflash

  • HHSC ALERT: EVV Visit Maintenance Implementation
  • HHSC Resources for Domestic Violence and Substance Use
  • How Superior Ensures Providers are Geographically Accessible
  • COMING SOON: SATISFACTION SURVEY

6/26/18 Provider Newsflash

  • Quick Guide to Superior's Utilization Management Process 
  • HHSC Resources: Postpartum Depression
  • Appointment Availability Audit Coming Soon
  • HHSC REQUIRMENT: EVV DATE CHANGE
  • Behavioral Health: CANS TRAINING TRANSITION  

6/12/2018 Provider Newsflash

  • HHSC Notice: EVV Zip Tie Policy Change 
  • HHSC Training for Teen Consent and Confidentiality
  • Help Patients Obtain Required Services
  • HHSC TRAINING: PREVENTING LEAD EXPOSURE
  • FQHC CLAIM REQUIREMENTS

5/29/2018 Provider Newsflash

  • HHSC REQUIREMENT: MEDsys to DataLogic Transition
  • Verify Medication Eligibility for STAR Health Members
  • Ensure Members Understand their Rights and Responsibilities
  • ADHD & DEPRESSION RESOURCES
  • HHSC: EVV COMPLIANCE SCORE REQUIREMENT

5/15/2018 Provider Newsflash

  • New Clinical and Payment Polices
  • LTSS Providers: Medicaid Program Enrollment Extension
  • Know Your Credentialing Rights
  • ORDER SMALL ALTERNATIVE DEVICES ELECTRONICALLY
  • RSVP NOW: JUNE THERAPY FORUMS

5/1/2018 Provider Newsflash

  • Enhanced Restrictions on Medications Containing Opioids
  • Your Feedback Creates Change at Superior
  • Available Now: Provider Satisfaction Results
  • NEWS TAILORED TO YOUR SPECIALTY
  • YOUR EXPERTISE IS REQUESTED

4/17/2018 Provider Newslfash

  • Did You Miss This Enrollment Requirement?
  • April 28: National Prescription Drug Take-Back Day
  • Access Now: Behavioral Health Tools
  • HOW TO AVOID CLAIM DENIALS
  • HHSC NOTIFICATION: CHIP COPAYS

4/3/2018 Provider Newsflash

  • Prior Auth Removal for Chiropractic Services
  • Earn Rewards for Meeting Quality Standards
  • Cultural and Social Resources to Enhance Member Care
  • REMINDER: PRIOR AUTH FOR DME SUPPLIES
  • ESSENTIAL FORM FOR FOSTER CARE

3/20/2018 Provider Newsflash

  • Effective Immediately: Prior Authorization Change
  • Quick Guide to Superior's Appeal Process
  • Feedback Requested: 2018 Clinical Practice Guidelines
  • EFFECTIVE 3/9: PDL UPDATES
  • REGISTER NOW: AAP COURSE IN APRIL

3/6/2018 Provider Newsflash

  • Effective 3/1: Morphine Equivalent Dose (MED) Limitations
  • New Credentialing Process in April
  • Tips to Improve the Patient Care Experience
  • 3 IN 30 IMPLEMENTATION DATES
  • NEW PROVIDER TOOL: ADOBE SIGN

2/20/2018 Provider Newsflash

  • What You Missed at Superior's Chronic Pain Summit
  • New Program: Easier Patient Referrals for Therapy Services
  • Is Your Information Accurate?
  • HHSC ALERT: EVV CELL PHONE POLICY
  • UPDATE: PRIOR AUTH FORM

2/6/2018 Provider Newsflash

  • 3 in 30 for STAR Health Members Beginning in April
  • Diabetic Meter Program
  • Click On The YTBC - Medicaid Provider Portal Link To Access Medicaid Health Information
  • NEW EFFECTIVE DATE: VDP PREFERRED DRUG LIST
  • FEBRUARY CAAC MEETING: YOUR EXPERTISE IS REQUESTED

1/23/2018 Provider Newsflash

  • REGISTER TODAY: Texas Chronic Pain and Substance Use Disorder Summit
  • Information Needed for Private Duty Nursing Benefit
  • Effectively Prevent Cervical Cancer
  • HHSC: EVV RESOURCES

1/9/2018 Provider Newsflash

  • EFFECTIVE 1/25: Preferred Drug List Updates
  • Is Prior Authorization Required?
  • Documentation Requirements for Nursing Facility Therapy Services
  • ACTION REQUESTED: UPDATE YOUR INFO

12/26/2017 Provider Newsflash

  • VDP Restrictions on Tramadol and Codeine
  • New Opioid Prescribing Limits
  • Appointment and Office Site Standards for Your Practice
  • Reminder: Avoiding Claim Denials

12/12/2017 Provider Newsflash 

  • IMPORTANT: New Clinical and Payment Policies
  • Prior Authorization Update for DME Supplies, Effective Immediately
  • Evidence-Based Guidelines to Improve Health Outcomes
  • QRG: Increasing HEDIS Scores
  • Access Now: Valuable Behavioral Health Resources

11/28/2017 Provider Newsflash

  • EVV Requirements: Claims and Billing
  • 12/31 Deadline: CHIP Enrollment
  • Tip Sheet Medicare Health Outcomes Survey
  • News Tailored for You: Update Provider Info
  • Therapy Providers: Upcoming Events

11/14/2017 Provider Newsflash

  • Effective 12/1: 17P Pharmacy Benefit Update
  • Protect Your Patients, Be Antibiotics Aware
  • The Importance of Risk Adjustment Coding
  • Deadline: Medicare Enrollment
  • Access Now: YTBC Portal

10/31/2017 Provider Newsflash

  • Flu Tests and Treatments for Your Patients
  • Allwell Open Enrollment
  • CBWC: Top-Tier Provider Technology and Patient Engagement Tips
  • DME: New Fax Line
  • RSVP NOW: Asthma Symposium on 12/2

10/17/2017 Provider Newsflash

  • Updated Flu Benefit, Codes and Recommendations
  • Ambetter Covered Benefit: Digital Breast Imaging
  • Important Updates for DME Supplies
  • Tip Sheet: Health Outcomes Survey
  • YTBC Portal: Access Available

10/3/2017 Provider Newsflash

  • NCQA Rating: Superior Earns Four Stars
  • Medicare Open Enrollment Starts October 15
  • 2017 CAHPS Survey Results Are Now Available
  • REMINDER: CLAIM DENIALS FOR INVALID DATA
  • MEMBER BENEFIT: SPORTS PHYSICALS
  • HHS SURVEY: YTBC INTEGRATION PILOT

9/19/17 Provider Newsflash

  • NEW: Payment Policies
  • Updated Fax Numbers for LTSS Service Coordination
  • Therapy Prior Authorization Requirements
  • GIVEAWAY: AMAZON GIFT CARD

9/5/17 Provider Newsflash

  • IMPORTANT: Support for Hurricane Victims
  • Billing Changes for Therapy
  • Improving Health through Quality Improvement
  • Update: Superior's Preferred DME Supplier
  • Join Now: ZIKA Care Connect

8/22/17 Provider Newsflash

  • LTSS Prior Auth Code Change
  • 3 Steps to Increase Quality Scores from Superior's Chief Medical Director
  • Utilization Review Prociess: What You Need to Know
  • Effective 9/1: Therapy Benefit Updates HHS
  • Required: Financial Management Service Agencies Training 

8/8/17 Provider Newsflash

  • Use of Mobile Phones Prohibited for EVV Transactions
  • Disease Management: Reducing Costs and Improving Care
  • Deadline Extension: COE RFP
  • RSVP: CAAC Meeting
  • Attention: PAS and DAHS LTSS Providers

7/25/17 Provider Newsflash

  • Deadly Drug Combination: The Houston Cocktail
  • Prescriber's Guide to Outpatient Pharmacy Prior Authorization
  • Geographical Access for Superior Members
  • New: Ambetter Provider
  • Reminder: YTBC Portal Integration Pilot

7/11/17 Provider Newsflash

  • VDP Enrollement Requirement
  • Ambetter: Increased Reimbursement Rates
  • Pharmacy: What You Need to Know about Formularies, Peer-to-Peer Reviews and Appeals
  • 8/4: RFP Deadline
  • Reminder: Required Attestation At-Home Therapy

6/27/17 Provider Newsflash

  • Tips for Success from a Superior Center of Excellence
  • Required Trainings for Medicare and MMP Providers
  • Important Superior Medicare Advantage Change
  • Coming Soon: Appointment Availability Audit
  • EVV: Avoid Claim Denials

6/13/17 Provider Newsflash

  • HHS Notice: STAR Kids Billing Matrix Updates
  • New Superior DME Supplier
  • Are Your Patients Eligible for Case Management?
  • Requirement: Taxonomy Codes
  • Integration: YTBC Portal

5/30/17 Provider Newsflash

  • Dr. Crowe: 4 Must-Have Tips for Working with Superior
  • CHIP-Only Providers Must Enroll with TMHP by 12/31/17
  • 4 Simple Steps to Educate Members on their Rights and Responsibilities
  • EVV: Required Info for Claims
  • New: Adobe Sign

5/16/17 Provider Newsflash

  • Provider Tips | Success through Continuing Education
  • Pharmacy Claims Processing Transition
  • Credentialing: Provider Rights
  • 5/22: Required Attestation for At-Home Therapy
  • 6/1: New Provider Survey

5/2/17 Provider Newsflash

  • Superior - YourTexasBenefitsCard Portal Integration Pilot
  • Don't Miss CAAC Meetings in May and June
  • Meeting the Needs of our Providers
  • Effective 5/1: Mosquito Repellent Benefit for Zika Prevention
  • RSV Season Has Ended

4/18/2017 Provider Newsflash

  • Effective 7/15: Updated Clinical and Payment Policies
  • New PDN Documentation Requirements
  • National Prescription Drug Take-Back Day is April 29
  • HHS NOTICE: YourTexasBenefitsCard Portal
  • PROVIDER TRAININGS

4/4/2017 Provider Newsflash

  • Ambetter PCP Auto-Assignment
  • Are You Meeting CLAS Standards?
  • NF Provider Incentive Requirements
  • Provider Resources: Pharmacy Web Page

3/21/2017 Provider Newsflash

  • NEW: Join Superior’s Clinical and Administrative Advisory Committee
  • No PA Needed for Value-Based Therapy Providers
  • New Prenatal Vitamin Program
  • Claim Requirements: Delivery and Postpartum Services

3/7/2017 Provider Newsflash

  • Required: PSON for PAS, PCS and HAB Services
  • Effective 6/1: Claim Denials for Invalid Data
  • How Are Your Patients Rating You?
  • EVV Compliance
  • How To Guide: Pre-Auth

2/21/2017 Provider Newsflash

  • PROVIDER SPOTLIGHT: How St. Paul Children's Clinic Excels in Cultural Competency
  • HHS Update: Texas Medicaid Provider Re-Enrollment
  • Required Information for At-Home Therapy Requests
  • HHS Quick Course: LARC
  • Requirements: PA for Dialysis

2/7/2017 Provider Newsflash

  • NEW: 2017 Diabetic Meter Program
  • RESUBMIT: Clearininghouse Denials of CPT/HCPCS Claims
  • Foster Care Center of Excellence Awarded to STCPC
  • STAR Kids: Flexible Respite Care Hours

1/24/2017 Provider Newsflash

  • REQUIRED: Texas Health Steps Documentation
  • REQUIRED: Cost Report Trainings
  • Help Decrease Diabetes Rates
  • LTSS Providers: Avoid Claim Denails 
  • 1/31 Clinical Edit: HEP C

1/10/2017 Provider Newsflash

  • DEADLINE 1/31: Ambetter Open Enrollment
  • Updated: Provider Trainings
  • Therapy Fee Schedule Reimbursement Rates
  • New Clinical Edits

12/20/2016 Provider Newsflash

  • Superior the Top-Rated Medicaid Plan in Texas
  • New STAR Kids Resources
  • 2017 Ambetter Provider and Billing Manual Now Available
  • Update Your Info Today!
  • Provider Portal: NF Applied Income Now Displayed

12/6/2016 Provider Newsflash

  • Medical Director Spotlight: Dr. William Brendle Glomb, Partner with Us
  • It's National Influenza Vaccination Week!
  • Does your Office Meet Superior's Appointment Availability Access and Office Site Standards?
  • Effective Immediately: Zika Extension Notice
  • New: Medicaid Benefit

11/22/2016 Provider Newsflash

  • Superior Announces First Center of Excellence: South Texas Pediatric and Congenital Heart Center
  • Balance Billing Quick Reference Guides Now Available 
  • Practice Guidelines: Improving Member Experience
  • Announcment: Behavioral Health Services

11/8/2016 Provider Newsflash

  • NOP Incentive Program
  • Get Smart About Antibiotics
  • What Are You Telling Patients About Dehydration This Season? 
  • Training: STAR Kids LTSS Billing
  • Pre-Auth Tool: STAR+PLUS MMP

10/25/2016 Provider Newsflash

  • Superior Awards Grant to Easter Seals East Texas for New Initiative
  • New: Superior Medicare Advantage (HMO) Plan for Your Patients
  • Superior the Top-Rated Medicaid Plan in Texas
  • Prescribing Opiods: What You Need to Know
  • New: MMP Provider Manual

10/11/16 Provider Newsflash

  • Be Prepared: Ambetter Open Enrollment
  • Flu: What You Need to Know
  • Help Protect Lives this October
  • Therapy Authorization Checklist
  • New: Pharmacy and Vision Provider Name

9/27/16 Provider Newsflash

  • New Requirement: Personal Assistance Services (PAS) Claims
  • Superioir Joins State's New Integrity Initiative
  • Measuring Member Experience with CAHPS
  • CMS Required Trainings
  • TH Steps Courses Available

9/13/16 Provider Newsflash

  • Provider Spotlight: Superior Awards Two Top Performing Providers 
  • Deadline Approaching: Avoid Medicaid Provider Disenrollment 
  • THSteps Checkup Documentation Essential to Medical Records 
  • Pharmacy Changes: Walmart Sports Physicals Reimbursement

8/16/16 Provider Newsflash

  • Peer-to-Peer Review Process for Antipsychotics
  • Required: Prior Authorizations for Incontinence Supplies
  • Improving Quality Care through Utilization Management
  • Reminder: LARC Pharmacy Upddates
  • New: 2016 Practice Guidelines

8/2/16 Provider Newsflash

  • Provider Spotlight: Dr. James A. Caplin, The Corpus Christi Allergy and Asthma Center
  • Important: Balance Billing Prohibited
  • Reduce Costs and Improve Care with Disease Management
  • Therapy: Reimbursement Policy & Fee Schedule
  • Update: Preferred Drug List

7/19/16 Provider Newsflash

  • HHSC Survey for Home and Community-Based Services Due 7/29
  • New Medicare and Ambetter Payment and Clinical Policies
  • Geographical Access for Superior Members
  • Secure Portal Demographic Survey
  • New Clinical Edits

7/5/16 Provider Newsflash

  • What Pharmacy Details Are You Missing?
  • Earn Incentives with Transition of Care Wellness Visits
  • CMS Direction on Balance Billing for Medicare and MMP Providers
  • Upcoming STAR Kids Information Sessions

6/21/16 Provider Newsflash

  • Superior Honors Lubbock Children's Health Clinic
  • IMPORTANT: Did You Submit Your Re-Enrollment Application?
  • Therapy Fee Schedule Changes
  • Appointment Availability Audit

6/7/16 Provider Newsflash

  • Updated Therapy Service Policy Effective 9/1
  • Access Patient Information through New Web Portal
  • Required CMS Trainings for Medicare and MMP
  • Update Your Demographic Information

5/24/16 Provider Newsflash

  • A Win for Atascosa Health Center
  • Discharge Planning: What Providers Need to Know|
  • Making the Transition from Adolescent to Adult Care
  • What is Needed on an H2067 Form?

5/10/16 Provider Newsflash

  • June Deadline Approaching: Required Re-enrollment
  • REVIEW: Influenza and Streptococcus Testing Reimbursement
  • How to Connect Patient to Case Management
  • Updated: EVV and CFC Trainings

4/26/16 Provider Newsflash

  • Stonebridge Wins Community Champion for Children Award!
  • How to Prescribe Incontinence Supplies without PA
  • Member Rights and Responsibilities – What You Should Know
  • Action Requested: Take Superior’s Provider Survey

4/12/16 Provider Newsflash

  • New Decimal Unit Values for EVV Billing
  • Nursing Facility Incentive Program Launching in 2016
  • Credentialing: You Have a Right to Know
  • Reminder: Texas Health Steps

3/15/16 Provider Newsflash

  • Required Information for DAHS Authorizations
  • Texas Takes Aim at Zika Virus
  • Do You Have Clas?
  • Clinical Edit: Duplicate Therapy

3/1/16 Provider Newsflash

  • Become a STAR Kids Provider Today
  • PA Requirements for Non-Emergent Ambulance Transportation
  • New Texas Medicaid Benefits for 2016
  • Update 4/1:Pain Management Codes without PA

2/16/16 Provider Newsflash

  • $20 Wellness Exam Rewards
  • Register Now: Provider Imaging Webinar
  • How are your Patients Rating You?
  • New Cost Edit on Compounded Medications

2/2/16 Provider Newsflash

  • Health Alert: Zika Virus
  • 2016 LARC Updates: What You Need to Know for Reimbursement and Prescriptions
  • Don’t Miss These Important Medicaid Provider Trainings
  • IMPORTANT REMINDER: Claims Requirements for ICD-10
  • Cough and Cold Clinical Edits

1/19/16 Provider Newsflash

  • Provider Newsflash Congratulations to the Seton Hays Foundation!
  • HHSC Notice: Provider Re-enrollment Deadline Extension
  • Help Patients Manage Their Diabetes
  • Provider Trainings

1/5/16 Provider Newsflash

  • Your Patient’s Open Enrollment Deadline for the Health Insurance Marketplace
  • FDA Drug Recall Alert on 12/3/15
  • Do You Have the Billing Requirements for Procedure Code J1725?
  • Walmart Pharmacy Reminder
  • Support for Dallas Patients Affected by Natural Disasters
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