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Provider Resources

Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training.

For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html)

Superior HealthPlan equips each of our providers with the most up-to-date resources available for Texas Medicaid (STAR, STAR+PLUS, STAR Kids, STAR Health), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Medicare (Wellcare By Allwell) and Health Insurance Marketplace (Ambetter from Superior HealthPlan). Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. Links to specific provider resources can be found by using the left navigation bar to access provider webpages or clicking the links within the sections below.

For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources.



National Imaging Associates (NIA) resources have moved. Please visit the Prior Authorization Resources dropdown on Superior's Prior Authorization webpage.

Superior HealthPlan operates a toll-free Nurse Advice Line that can be found on Superior's Phone Directory webpage. 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.

Quality Improvement resources have moved. Please visit Superior's QI Program.

For the most updated information or to re-enroll, please visit the Texas Medicaid & Health Partnership website.