Superior Health Plan Clinical Guidelines

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Practice Guidelines Provider Resources Superior HealthPlan

(9 days ago) Web5900 E. Ben White Blvd. Austin, Texas 78741. For more information and resources on Practice Guidelines, please reference the following link: Adopted Clinical Practice Guidelines (PDF) Superior HealthPlan provides the tools and support you need to …

https://www.superiorhealthplan.com/providers/resources/quality-improvement/practice-guidelines.html

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Provider Training and Manuals Superior HealthPlan

(6 days ago) WebProvider Manuals. Wellcare By Allwell (Medicare) Provider Manual (PDF) Ambetter from Superior HealthPlan Trainings, Forms and Manuals. External Link. Superior HealthPlan …

https://www.superiorhealthplan.com/providers/training-manuals.html

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Clinical Policy: Medical Necessity Criteria - Superior HealthPlan

(7 days ago) Web2. provided at appropriate facilities and at the appropriate levels of care for the treatment of a member's health conditions; 3. consistent with health care practice guidelines and …

https://www.superiorhealthplan.com/content/dam/centene/Superior/policies/clinical-policies/TX.CP.MP.500.pdf

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Effective May 31 2021 Clinical Policies - Ambetter from Superior …

(8 days ago) WebEffective May 31, 2021: Clinical Policies. Date: 03/31/21. Superior HealthPlan has either created new policy, revised or retired existing clinical policies to ensure medical …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-may-31-2021-clinical-policies-.html

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Clinical Practice and Preventive Health Guidelines

(1 days ago) WebAmbetter from Superior HealthPlan offers its network providers clinical practice and preventative health guidelines from recognized sources. Learn more at Superior …

https://ambetter.superiorhealthplan.com/provider-resources/manuals-and-forms/practice-guidelines.html

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Effective October 6 2021 Clinical Policies - Ambetter from Superior

(Just Now) WebDate: 09/29/21. Superior HealthPlan has updated certain clinical policies to ensure medical necessity review criteria is current and appropriate for members and the …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-october-6-2021-clinical-policies.html

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SCOPE: - Superior HealthPlan

(6 days ago) Web2. Internal Use of Clinical Practice Guidelines a. Whenever possible, Superior will utilize the clinical documentation systems provided by a selected vendor. Centene …

https://provider.superiorhealthplan.com/static/provider/docs/superior/TX_Practice_Guidelines.pdf

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SUPERIOR HEALTH PLAN - radmd.com

(6 days ago) WebClinical guidelines RECORD KEEPING AND DOCUMENTATION STANDARDS Physical Medicine – Clinical Decision Making Original Date: November 2015 Guideline Number: …

https://www1.radmd.com/media/948078/record-keeping-and-documentation-standards-2021-superior-health-v1.pdf

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Effective March 31, 2023: Clinical Policies - Superior HealthPlan

(5 days ago) WebSuperior HealthPlan has updated certain clinical policies to ensure medical necessity review criteria is current and appropriate for members and the scope of …

https://www.superiorhealthplan.com/newsroom/effective-03312023-clinical-policies.html

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Provider and Billing Manual - Ambetter from Superior …

(9 days ago) WebHEALTH PLAN INFORMATION. Ambetter from Superior HealthPlan . Ambetter from Superior HealthPlan 5900 E. Ben White Blvd. Austin, TX 78741 Phone: 1-800-964-2777 …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2022-AmbPrvdrManual.pdf

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Effective June 7, 2021: Clinical Policies - Superior HealthPlan

(5 days ago) WebSuperior HealthPlan has either created new policy, revised or retired existing clinical policies to ensure medical necessity review criteria is current and …

https://www.superiorhealthplan.com/newsroom/effective-06072021-clinical-policies.html

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SUPERIOR HEALTH PLAN - RADMD

(3 days ago) Web5—Superior health plan specific policy administered by NIA Outpatient Habilitative PT and OT Therapy o The member’s therapy plan and home program require frequent …

https://www1.radmd.com/media/948760/outpatient-habilitative-pt-and-ot-therapy-2021-v2-superior-09162021-final.pdf

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RADMD SUPERIOR HEALTH PLAN PHYSICAL MEDICINE

(1 days ago) WebSuperior Health Plan Clinical Guideline 602 for Outpatient Habilitative and Rehabilitative Speech Therapy. Superior Health Plan Clinical Guideline 603 for Outpatient …

https://www1.radmd.com/superior-health-plan-physical-medicine

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Resources / Materials - Superior HealthPlan

(9 days ago) WebSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) recommends all of our plan members take the time to create a living will, designate a Medical Power of Attorney …

https://mmp.superiorhealthplan.com/resources.html

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Interoperability and Patient Access - Superior HealthPlan

(5 days ago) WebStarting in 2021, a new federal rule made it easier for Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) members to manage their digital medical …

https://mmp.superiorhealthplan.com/resources/interoperability-and-patient-access.html

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SHP - Physical Medicine Services Quick Reference Guide (QRG)

(Just Now) Web1 — Ambetter from Superior HealthPlan - Outpatient Therapy Services QRG. SHP_2020A7195A. visit, providers will have up to five business days to request approval …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/SHP-20207195A-Ambetter-Physical-Medicine-QRG-NIA-P-508-12032020.pdf

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Superior HealthPlan Telemedicine Quick Reference Chart

(7 days ago) WebHHSC is authorizing providers to bill codes 99201-99205 and 99211-99215 for telephone (audio-only) medical (physician delivered) evaluation and management services …

https://thotonline.org/wp-content/uploads/2022/04/Superior-Telemedicine-Quick-Reference-Chart.pdf

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Effective January 2023 Clinical Policies - Ambetter from Superior

(9 days ago) WebEffective January 31, 2023: Clinical Policies. Date: 01/25/23. Superior HealthPlan has updated certain policies to ensure medical necessity review criteria is current and …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-january-2023-clinical-policies0.html

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Superior HealthPlan Physical Medicine Request Tip …

(Just Now) WebGuideline: Outpatient Habilitative Speech Therapy (NIA_CG_602) ˖ Superior HealthPlan Specific policy administered by NIA Clinical Guideline: Outpatient Habilitative Physical …

https://www1.radmd.com/sites/default/files/2023-10/Superior%20HP%20PM%20Tip%20Sheet%20Checklist%20Evolent%2009132023.pdf

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Effective July 2023 Clinical Policies - Ambetter from Superior …

(5 days ago) WebEffective July 31, 2023: Clinical Policies. Date: 05/17/23. Superior HealthPlan has updated certain clinical policies to ensure medical necessity review …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-july-2023-clinical-policies.html

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English - Superior HealthPlan

(5 days ago) WebSuperior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a Medicare-Medicaid Plan made up of doctors, hospitals, pharmacies, providers of long-term services and …

https://mmp.superiorhealthplan.com/

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