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Effective March 1, 2024: Removal of Prior Authorization Requirement for Certain Genetic Procedures
Pneumococcal 20-Valent Conjugate Vaccine Age Range Expansion
Updated January 25,2024 : Texas Medicaid Preferred Drug List Updates
EVV Claims Matching Bypass from January 1 to March 31
EVV Visit Maintenance Processes on Hold for Dates of Service Prior to Go-Live Date with Current EVV
Effective March 1, 2024: Pharmacy and Biopharmacy Policies
Apply Now: Home Health Aide Training Program
Now Available: HHSC Telemedicine and Telehealth Educational Video and Infographics
Test
Test Page January 1, 2024
3 in 30 Assessments for Foster Care Patients
UPDATED: STAR Kids LTSS Billing Matrix
STAR Health Trauma-Informed Care Alternative Payment Model
ACTION REQUIRED: Rate Enhancement
Provider Satisfaction Survey Save the Date
Medicare Member Plan Benefits Resumed for Applicable COVID-19 Testing, Screening, and Treatment Services
Effective August 1, 2023: Pharmacy and Biopharmacy Policies
Medicaid Inpatient Hospital Spell of Illness Policy Extension for COVID-19 Ending
Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success
Upcoming Hepatitis C Educational Webinar for Prescribers
RSV 2022
Upcoming EVV HHAeXchange Webinar
Effective May 1, 2024 Pharmacy and Biopharmacy Policies
Help Protect Your Patients and Your Community Against RSV
Provider Alert: Change Healthcare Cybersecurity Incident and Its Impact to Superior HealthPlan
Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP
Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies
Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville
Barrier Removal Fund (BRF) 2022 Initiative
Provider Notice of Adverse Benefit Determinations
Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnership’s (TMHP) Eligibility Verification Issues
Support for Superior HealthPlan Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
Support for Superior Members Affected by Severe Weather, Wildfire, or Other Natural Disaster
Effective January 1, 2024: Retired Medicare Clinical and Clinical Payment Policies
Effective June 1, 2024: New Clinical Payment Policies: Infectious Disease - Lab Screening and Testing
Training Requirement: Model of Care
3 in 30 Assessments for Foster Care Patients
STAR+PLUS: Contract Award Updates
EVV Claims Matching Resumes April 1, 2024; Unmatched EVV Claims will Deny for Payment
REQUIRED: After-Hours, Appointment and Office Site Standards
Availity to Host Live Training Webinars for Providers
IMPORTANT: Updates to HHAeXchange EVV Training Resources
Texas-based Superior HealthPlan Releases Annual Community Investment Report
Effective April 15, 2024: Cranial Molding Orthosis
Secure Portal: Manage Tasks Quickly and Easily
Effective March 25, 2024: Clinical Policies
Effective May 31, 2024: Clinical Policies
2023 – 2024 Respiratory Syncytial Virus (RSV) Season Changes
Effective June 1, 2024: Pharmacy and Biopharmacy Policies
Effective April 1, 2024: Pharmacy and Biopharmacy Policies
EVV Visit Transaction Rejection Codes to Begin April 1, 2024
members-rate-their-provider-experience-03262024
REQUIRED: Prior Authorization for Nursing Facility Add-On Therapy
NOW AVAILABLE: HHS Briefing on Change Healthcare
Drug Take Back April 2024
Health Passport Requirements for Behavioral Health Providers Serving STAR Health Members
April 27: Drug Take Back Day
Resolving Payment Discrepancies on Claims
Effective 04/22/24: Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies Online Platform
NEW: Partnership and Appointment Platform with Grow Therapy
Access Behavioral Health Tools and Resources
Billing EVV Services as Secondary Insurance Claims
NEW: Change Healthcare Availity and Zelis Processes
Updated EVV Home Health Care Services Bill Codes Table
UPDATED: Timeframe for Clinical Information for Acute Inpatient Facility Providers
ACTION REQUIRED: CMS Annual Drug Utilization Review Survey for FFY 2023
PROHIBITED: Balance Billing
Register for Upcoming LTSS Recruitment and Retention Webinar
Effective August 1, 2024: Prior Authorization for Certain Genetic Procedure Codes
Effective May 1, 2024: Pharmacy and Biopharmacy Policies
ACTION REQUIRED: Confirm Your Provider Information is Accurate
Attention: Providers in the Travis Service Delivery Area
Now Available: Trainings for Hospital Providers
EVV Alternative Device Phase-Out Schedule for Public Comment – Due by May 15
Effective May 1, 2024: Removal of Prior Authorization Requirement for Certain Medical Eye Procedures
Updates to the EVV Visit Maintenance Processes Hold for Dates of Service Prior to Go-Live Date
AcariaHealth Remains In-Network and a Preferred Specialty Pharmacy
Effective July 1, 2024: Pharmacy and Biopharmacy Policies
Effective August 1, 2024: Clinical Policies
Do Your Patients Understand Their Rights and Responsibilities?
Superior HealthPlan Employees Show Support for March of Dimes in Austin
Asthma Awareness Month: Inclusion of National Guidelines into Clinical Practice
Secure Portal: Manage Tasks Quickly and Easily
ATTENTION LTSS PROVIDERS: 2023 Cost Report Due to HHSC by 5/15
Events
(Webinar) Hospitals Flash Trainings - Superior's Secure Provider Portal-Locating an Explanation of Payment
(Webinar) Hospital Provider Training
(Webinar) Hospital Provider Training
(Webinar) Hospital Provider Training
(Webinar) Cultural Competency and Disability Sensitivity Training
(Webinar) Ambetter from Superior HealthPlan
(Webinar) STAR Kids Long-Term Service and Supports (LTSS) Billing Clinic
(Webinar) Superior Medicare-Medicaid Plan (MMP)
Nueces: Clinical and Administrative Advisory Committee
(In Person) El Paso: Provider Advisory Group
(In Person) Travis: Provider Advisory Group
(Webinar) Central: Provider Advisory Group
DME Task Force Town Hall
(In Person) Bexar: Provider Advisory Group
(In Person) Hidalgo: Provider Advisory Group
(In Person) Northeast: Provider Advisory Group
(In Person) Lubbock: Provider Advisory Group
(In Person) West: Provider Advisory Group
(In Person) Nueces: Provider Advisory Group
(In Person) Harris: Provider Advisory Group
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