We believe that delivering quality care doesn’t have to be complicated. So, to make working with us easier, we developed the Provider Toolkit webpage. It’s designed to provide you with valuable education and materials to simplify your administrative responsibilities—so you can focus on providing care.
Provider Toolkits
- Ambetter from Superior HealthPlan Provider Toolkit
- Medicaid Provider Toolkit (PDF)
- Wellcare By Allwell Toolkit (PDF)
Other Provider Tools
- Behavioral Health Quick Reference Guide (PDF)
- Behavioral Health Provider Training (PDF)
- Group National Provider Identifier (NPI) Demographic Form - Mental Health Rehabilitation and Targeted Case Management (MHR/TCM) (PDF)
- Mental Health Rehabilitation and Targeted Case Management (SB58) Training (PDF)
- myStrength Provider Flyer (PDF)
- Texas CANS 2.0 Assessment Provider Checklist (PDF)
- Texas CANS 2.0 Become a Certified Provider (PDF)
- Texas CANS 2.0 FAQ (PDF)
- Texas CANS 2.0 Provider Self-Audit Tool (PDF)
To find additional resources, please visit: Superior’s Behavioral Health webpage
- Balance Billing: Superior Medicaid and CHIP (PDF)
- Claims Appeal Form (PDF)
- Corrected Claim Form (PDF)
- Identify a Claim Number from Superior HealthPlan (PDF)
- Submit Claim Appeals and Claim Attachments on the Secure Provider Portal (PDF)
- Submit Corrected Claims on the Secure Provider Portal (PDF)
To find additional resources, please visit: Superior’s Billing and Coding webpage
- EVV FAQ (PDF)
- EVV Provider Training (PDF)
- Provider Statement of Need Frequently Asked Questions (PDF)
- Provider Statement of Need – STAR+PLUS and STAR+PLUS MMP (PDF)
- Provider Statement of Need – STAR Kids and STAR Health (PDF)
- STAR Health and STAR Kids LTSS Billing Clinic (PDF)
- STAR+PLUS LTSS Billing Clinic (PDF)
- STAR+PLUS LTSS and Supports Rate Guide (PDF)
- STAR+PLUS LTSS Quick Reference Guide (PDF)
- STAR+PLUS Medicare-Medicaid Plan (MMP) Training (PDF)
- STAR+PLUS MMP Quick Reference Guide (PDF)
- Discharge Planning Instructions (PDF)
- Emergent Inpatient Notification (PDF)
- Skilled Nursing Requirements Checklist (PDF)
To find additional resources, please visit: Nursing Facility Resources webpage
- CoverMyMeds: Prescription Drug Prior Authorization (PDF)
- Superior Pharmacy Quick Reference Guide (PDF)
To find additional resources, please visit: Superior’s Pharmacy webpage.
- Appointment Availability Standards (PDF)
- Claims Reconsideration Form (PDF)
- Comprehensive Billing Clinic (PDF)
- Notification of Pregnancy Form (PDF)
- Notification of Pregnancy (NOP) Incentive Program Details (PDF)
- Submit Notification of Pregnancy on the Secure Provider Portal (PDF)
- PCP Quick Reference Guide (PDF)
- Texas Health Steps Quick Reference Guide (PDF)
- Texas Health Steps Periodicity Schedule
- CHIP Prior Authorization List (PDF)
- How to Use the Pre-Authorization Tool (PDF)
- Inpatient Medicaid Authorization Form (PDF)
- Medicaid Prior Authorization List (PDF)
- NIA: High Tech Imaging QRG for Ordering Physicians (PDF)
- Outpatient Medicaid Authorization Form (PDF)
- Request Prior Authorization for Incontinence Supplies (PDF)
To find additional resources, please visit: Superior’s Prior Authorization Tool
- Centene Institute for Advanced Health Education
- Provider Training Calendar
- STAR, STAR+PLUS and CHIP Provider Training (PDF)
To find additional resources, please visit: Provider Trainings and Manuals webpage.
- 3 in 30 Billing Guidelines (PDF)
- 3 in 30 Overview Flyer (PDF)
- 3 in 30 Provider Training (PDF)
- Health Passport Form Coversheet (PDF)
- Health Passport Frequently Asked Questions
- Health Passport Overview Summary (PDF)
- Health Passport User Guide for Doctors and Clinical Staff (PDF)
- STAR Health (Foster Care) Training (PDF)
To find additional resources, please visit: Foster Care Provider Resources
- HHS: How to Submit a Complaint as a Medicaid Provider (PDF)
- Guidelines for HEDIS Effectiveness of Care Measures: Annual Monitoring for Patients on Persistent Medications (MPM)
- Provider Grants Program
- Provider Accessibility Initiative (PDF)
- Therapy Documents & Policy Clarification
To find additional resources, please visit: Superior’s Provider Resources webpage