Provider News
Providers who serve STAR Health members are encouraged to subscribe to the Superior Provider Newsflash. This bi-weekly email newsletter helps you stay up-to-date on the latest on claims information, pharmacy changes and policy updates.
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For the most updated STAR Health provider news and information, click and review one of the latest articles below.
Latest Provider News
March
Effective April 1, 2025: Removal of Prior Authorization Requirement for Certain Sleep Studies
03/24/25
Effective April 1, 2025, Superior HealthPlan will no longer require prior authorization for certain procedures related to Sleep Studies.Members Rate Their Provider Experience
03/24/25
Each year, Superior HealthPlan conducts five Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys for Superior Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, STAR+PLUS Medicare Medicaid Plan (MMP), Wellcare By Allwell (HMO and HMO DSNP) and Ambetter from Superior HealthPlan members.Important: Account Management Department Name Change
03/21/25
To better align with the terminology used in our Provider Satisfaction Survey and ensure clarity in our communications, we are updating the title of Superior HealthPlan's Account Managers to Provider Representatives. This change is effective immediately.Effective April 1, 2025: Pharmacy and Biopharmacy Policies
03/21/25
Superior HealthPlan has added, updated or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and appropriate for members and the scope of services provided. As a result, the following policies are effective on April 1, 2025, at 12:00AM.Effective June 1, 2025: Pharmacy and Biopharmacy Policies
03/21/25
Superior HealthPlan has added, updated or retired certain pharmacy and biopharmacy policies to ensure medical necessity review criteria is current and appropriate for members and the scope of services provided. As a result, the following policies are effective on June 1, 2025, at 12:00AM.Effective 5/1/25: HHSC Revisions to the Uniform Opioid Policy
03/20/25
Superior HealthPlan follows the Texas Health and Human Services Commission (HHSC) Uniformed Managed Care Manual (UMCM) rules. HHSC is updating the Uniform Opioid Policy in UMCM Chapter 16.1 to address Centers for Medicare and Medicaid Services (CMS) compliance.Important Resources for Providers
03/19/25
Superior HealthPlan’s Provider Representatives (formerly known as Account Managers) continue to focus on strengthening our relationships with our providers. In alignment with this goal, Superior’s Provider Representatives can assist with Superior Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, Ambetter from Superior HealthPlan, Wellcare By Allwell and Wellcare needs.3/12/25 UPDATE: HHSC EVV Policy Handbook Revisions
03/18/25
Superior HealthPlan would like to inform providers that The Texas Health and Human Service Commission (HHSC) Electronic Visit Verification (EVV) Policy Handbook has been revised as of March 12, 2025.Effective April 7, 2025: Pharmacy Coverage Updates for COVID-19 Test Kits and Vaccines
03/13/25
Superior HealthPlan would like to inform providers of the following upcoming changes for COVID-19 Test Kits and Vaccines:3 in 30 Assessments for Foster Care Patients
03/03/25
As a reminder, Superior HealthPlan continues to help remove barriers and provide quality health care for both mental and physical health needs through the STAR Health program. A part of this is ensuring 3 in 30 actions are met. 3 in 30 is a collaborative effort between the Texas Department of Family and Protective Services (DFPS), Texas Health and Human Services Commission and Superior.Show