Provider Resources

Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Please view information in this section that covers forms, guidelines and helpful links.

Ambetter Providers Click Here (Health Insurance Marketplace)

Billing Resources

Electronic Visit Verification (EVV)

High Tech Imaging

Superior HealthPlan has selected National Imaging Associates, Inc. (NIA) to provide radiology network management services. NIA manages the prior authorizations for non-emergent, advanced, outpatient imaging services rendered to Superior HealthPlan members.

Nurse Advice Line

Superior HealthPlan operates a toll-free nurse hotline that providers and members can call 24-hours-a-day, 7 days a week. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls

Prior Authorization

Private Duty Nursing

Process Improvement Resources

Quality

Quick Reference Guides & Contacts

Therapy Documents & Policy Clarification

Texas Health Steps

Texas Medicaid Re-enrollment

For the most updated information or to re-enroll, please visit TMHP.com.

Toolkits

Additional Resources