0000065755 00000 n Effective May 1, 2021, Ear, Nose and Throat (ENT) Surgeries, Sleep Study Management and Cardiac Surgeries need to be verified by TurningPoint. Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Ambetter from Superior HealthPlan 1-877-687-1196 April 2021 STAR - Bexar, Dallas, El Paso, Hidalgo, Lubbock, MRSA, Nueces, Travis. our mission, vision & values . 2�d[��#������ ��̙�#3gf�������k����k���sY�˾����X:X8� yf=X�`уe=X:[8;��Ѓ����������������������������0S�)�d 1247 0 obj <>/Filter/FlateDecode/ID[<26040E9AEBAF4346821F2042524C8CEC><7B3089F0DA857D47B5167D6BB634AD56>]/Index[1223 65]/Info 1222 0 R/Length 117/Prev 976201/Root 1224 0 R/Size 1288/Type/XRef/W[1 3 1]>>stream Last updated: 05/01/2021 Material ID: H6870_20725WEB_2021_Approved_10162020. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. 0000004433 00000 n Please contact TurningPoint by phone (1-855-336-4391) or fax (1-214-306-9323). 7 . Text/HTML. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. 0000000796 00000 n Vision coverage through CHRISTUS Health Plan differs by plan. Superior Vision is a product offering from Versant Health, a company forged from the experience of two leading vision care plans. Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. @Om�k����լ>��x� �{gҠ��J��� R������ZH?����� �04��n���l���ngeݜ�����&�ߥ��dmdr��zd_Z�U�5;�m��)�"��~2N����s�ͼyn�q�gj@oj�"����O����P9$� ���S(�KMR�ڳ�s�zd����_�g� ��. Last updated: 05/01/2021 Material ID: H6870_20725WEB_2021_Approved_10162020. Passport Health Plan by Molina Healthcare (Passport Health Plan or Passport) Medicaid 2021 Last Updated: October 2021 . Member Rights and Responsibilities . Provider and Billing Manual 2022 Ambetter.SuperiorHealthPlan.com. how affinity health plan works with providers and members . 0000058768 00000 n www.passporthealthplan.com. 2021 STAR and CHIP Provider Manual Provider Relations FirstCare Health Plans 1-800-264-4111 . The Meridian Health Plan of Michigan provider manual has everything you need to know about member benefits, coverage, and guidelines. Introduction. v Medicare Provider Manual Freedom Health & Optimum HealthCare December 2020 WELL WOMAN – ROUTINE & PREVENTIVE SERVICES 54 INITIAL HEALTH ASSESSMENT TOOL (HAT) 54 CLINICAL PRACTICE GUIDELINES 55 CASE MANAGEMENT PROGRAM 55 DISEASE MANAGEMENT PROGRAMS 56 SOCIAL SERVICES 57 SPECIAL NEEDS PLANS 58 0000003235 00000 n Tactical Combat Casualty Care (TCCC) has saved hundreds of lives during our nation's conflicts in Iraq and Afghanistan. %PDF-1.7 %���� 2, “Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook,” §§ 4.4 and 5.5.6 (2018 through 2020) • UnitedHealthcare Administrative Guide/Care Provider Manual (2018 through 2020) • Superior HealthPlan Provider Manual (2018 through 2020) Last Updated: January 2021 The Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements change. Providers can access the most current Provider Manual at Bookended by the 2008 financial crisis and the coronavirus pandemic, Generation Occupy attempts to help us understand how we got to where we are today and how to draw on lessons from Occupy in the future. TEXAS HEALTH PLAN LISTING – PROVIDER ATTESTATION **Refer to Office Reference Manual for Covered Benefits of Applicable Plan** Plan PlanType Fee Schedule Add Plan (Y/N) Driscoll Pregnant Women Medicaid Value Add A-1 Yes No Driscoll CHIP Perinate CHIP ValueAdd A-1 Yes No Superior Star Health (Foster Care) MedicaidChild A-1 Yes No trailer <<8920DC5F3D214B5386504BCDC785DD7F>]/Prev 875348>> startxref 0 %%EOF 160 0 obj <>stream !��G��e��` e~!� 1. Training Documents. For more information on balance billing, claims, additional requirements, and helpful billing information, please reference the Ambetter from Superior HealthPlan 2021 Provider & Billing Manual found on the following webpage: Ambetter Provider Resources 2. Texas Medicaid Provider Procedures Manual — September 2021. The official TEAS manual written by the creators of the TEAS exam. This study manual directly aligns with the TEAS exam, giving you the preparation you need to achieve the highest score possible. Features: - New! 2022 Provider & Billing Manual (PDF) 2021 Provider & Billing Manual (PDF) ICD-10 Information; W-9 Fax Cover Sheet (PDF) Ambetter Provider Toolkit; 2021 Provider Training (PDF) ... Ambetter from Superior HealthPlan has selected National Imaging Associates, Inc. (NIA) to provide radiology network management services. Providers should be aware of what information is … • Texas Medicaid Provider Procedures Manual, Vol. Superior MemberServices (Medicare Advantage): 877.935.8023 Milwaukee, WI Superior Provider Services (STAR, STAR+PLUS): 877.391.5921 Opt 3 Superior Provider Services (STAR Health): Or, 866.439.2042 Include address on electronic claims Superior Medical Management (Referrals/Authorizations): 800.218.7508 Superior Nurse Advise Line (NurseWise): For additional questions, please contact Superior Provider Services at 1 -877 391 5921 or review the provider manuals found on Superior’s Provider Resources webpage.
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