Effective June 1, 2024: Elimination of Certain Laboratory Services Payment Policies
Date: 07/02/24
Superior HealthPlan has eliminated utilization of the following clinical payment policies in the adjudication of claims submitted with laboratory service codes applicable to each clinical payment policy. These policies are no utilized for claims submitted with applicable laboratory service procedural codes for claim service dates on and after June 1, 2024. As a result, the following policies are being removed from Superior’s Clinical, Payment and Pharmacy Policies webpage :
POLICY | EFFECTIVE DATE | APPLICABLE PRODUCTS | UPDATE |
Helicobacter Pylori Serology Testing - CP.MP.153 | June 1, 2024 | Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan) | Policy Removal |
Testing for Select Genitourinary Conditions - CP.MP.97 | June 1, 2024 | Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan) | Policy Removal |
Polymerase Chain Reaction Respiratory Viral Panel Testing - CP.MP.181 | June 1, 2024 | Health Insurance Marketplace (Ambetter from Superior HealthPlan) | Policy Removal |
Polymerase Chain Reaction Respiratory Viral Panel Testing - TX.CP.MP.181 | June 1, 2024 | Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP | Policy Removal |
Gastrointestinal Pathogen Nucleic Acid Detection Panel Testing - CP.MP.209 | June 1, 2024 | Medicaid (STAR, STAR+PLUS, STAR Health, STAR Kids), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan) | Policy Removal |
To review all policies, please visit Superior’s Clinical, Payment and Pharmacy Polices webpage.
For questions or additional information, please contact Superior Provider Services at:
- 1-877-391-5921 (Wellcare By Allwell)
- 1-877-687-1196 (Ambetter from Superior HealthPlan)