Provider News & Information

2/20/2018
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
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
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
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
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
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
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
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
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
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

10/03/2017
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

09/19/17
NEW: Payment Policies
Updated Fax Numbers for LTSS Service Coordination
Therapy Prior Authorization Requirements
GIVEAWAY: AMAZON GIFT CARD

09/05/17
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

08/22/17
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 

08/08/17
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

07/25/17
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

07/11/17
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

06/27/17
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

06/13/17
HHS Notice: STAR Kids Billing Matrix Updates
New Superior DME Supplier
Are Your Patients Eligible for Case Management?
Requirement: Taxonomy Codes
Integration: YTBC Portal

05/30/17
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

05/16/17
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

05/02/17
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

04/18/2017
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

04/04/2017
Ambetter PCP Auto-Assignment
Are You Meeting CLAS Standards?
NF Provider Incentive Requirements
Provider Resources: Pharmacy Web Page

03/21/2017
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

03/07/2017
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

02/21/2017
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

02/07/2017
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


01/24/2017
REQUIRED: Texas Health Steps Documentation
REQUIRED: Cost Report Trainings
Help Decrease Diabetes Rates
LTSS Providers: Avoid Claim Denails 
1/31 Clinical Edit: HEP C


01/10/2017

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


12/20/2016

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


12/06/2016
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
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


11/08/2016
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
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
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
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 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
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 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
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
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
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
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
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
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
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
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
Required Information for DAHS Authorizations
Texas Takes Aim at Zika Virus
Do You Have Class?
Clinical Edit: Duplicate Therapy

3/1/16
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
$20 Wellness Exam Rewards
Register Now: Provider Imaging Webinar
How are your Patients Rating You?
New Cost Edit on Compounded Medications

2/2/16
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
Congratulations to the Seton Hays Foundation!
HHSC Notice: Provider Re-enrollment Deadline Extension
Help Patients Manage Their Diabetes
Provider Trainings

1/5/16
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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