© Copyright 2020 Celtic Insurance Company. Please note: It is not yet clear if CMS will rescind the more general HCPCS Code U0002 for non-CDC laboratory tests that the Medicare claims processing system is scheduled to begin accepting starting April 1, 2020. §438.400, possible subjects for complaints include, but are not limited to: Superior offers a number of ways to file a written complaint, as listed below: For help filing a provider complaint or to check on the status of a provider complaint, providers may email TexasProviderComplaints@centene.com. Providers billing with these codes will not be limited by provider type and can be both participating and non-participating. PRE AUTH CHECK. A copay may still apply to a hospital or non emergent ER claim billed with one of those lab codes.). The quality of care of services provided; Aspects of interpersonal relationships such as rudeness of a provider or employee, or. However, be aware that infected individuals can be contagious before symptoms arise. The appeal process includes a panel hearing in which the member’s dissatisfaction with the complaint response is reviewed. P.O. For more information on how to file a complaint, please review How to Submit a Complaint as a Medicaid Provider. Superior HealthPlan is committed to providing our participating providers with the best tools possible to support their administrative needs. Thank you for your interest in becoming a Superior HealthPlan network provider. Austin, Texas 78741 Superior is closely monitoring and following all guidance from the State and the Centers for Medicare and Medicaid as it is released, to ensure we can quickly address and support the prevention, screening and treatment of COVID-19. Box 85200 Superior HealthPlan has developed a Telemedicine Quick Reference Chart (PDF) (updated 10/23/2020) to help providers navigate telemedicine and telehealth reimbursement. ATTN: Complaince Department Medicaid does not require authorization for these services specifically but depending on the location and diagnosis on the claim, an authorization may be required for other services on the claim. ATTN: Complaint Department Find and enroll in a plan that's right for you. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Centers for Disease Control and Prevention (CDC), UPDATED: HHS Notice: Claims for Telephonic Behavioral Health and Medical Services (Posted 10/23/20), UPDATED: Superior Telemedicine and Telehealth Service Updates (Posted 10/23/20), AMA: COVID-19 Resource Center for Physicians, AMA: Telemedicine: Connect to Specialists and Facilitate Better Access to Care for Your Patients (Learning Module, Quiz and Resources), Center for Health Care Strategies, Inc. (CHCS), Addressing the Needs of Medicaid Populations During the COVID-19 Pandemic, CDC: Frequently Asked Questions: COVID-19 (General), CDC: Frequently Asked Questions: COVID-19 and Children, CDC: Frequently Asked Questions: COVID-19 and Pregnancy, CDC: Information for Healthcare Professionals, Centers for Medicare & Medicaid Services (CMS), CMS: COVID-19 Emergency Declaration Health Care Providers Fact Sheet (PDF), CMS: Medicare Telemedicine Health Care Provider Fact Sheet, CMS: Risk Adjustment Telehealth and Telephone Services During COVID-19 FAQs (PDF), CMS: Telehealth Services Fact Sheet (PDF), CMS: Telehealth Toolkit for General Practitioners, Department of State Health Services (DSHS), DSHS: Current Situation: Coronavirus Disease 2019 (COVID-19) Outbreak, DSHS: HEALTH ALERT - Recommendations for Healthcare Personnel Evaluating Patients for Possible 2019 Novel Coronavirus (2019-nCoV) Infection (PDF), DSHS: Information for Hospitals & Healthcare Professionals, NAMI: COVID-19 Resource and Information Guide, Centene Provider Support Program To Assist Providers With Grant Writing, Small Business Loan Applications, Superior HealthPlan: Coronavirus Disease 2019 (COVID-19) Healthcare Provider FAQ (PDF), Superior HealthPlan: Guidance for Providing In-Home Care Services (PDF), Center for Connected Health Policy (CCHP): COVID-19 Related State Actions, SimpleVisit: Using FaceTime for Telemedicine, HHS: Coronavirus (COVID-19) Mental Health Support Line, HHS: Coronavirus (COVID-19) Provider Information, HHS: Office of the Inspector General: COVID-19, Coronavirus Emergency Loans: Small Business Guide and Checklist (PDF), Hydroxychloroquine or Chloroquine for COVID-19: Drug Safety Communication - FDA Cautions Against Use Outside of the Hospital Setting or a Clinical Trial Due to Risk of Heart Rhythm Problems, Information on the Coronavirus Aid, Relief and Economic Security (CARES) Act (PDF), COVID-19 Public Health Emergency Extended by Federal Government into 2021 (Posted 10/23/2020), UPDATED: Occupational, Physical and Speech-Language Therapy: Updated Codes, Classifications for Telehealth (Posted 10/23/2020), UPDATED: COVID-19 Update: Extension of Prior Authorization for Some Acute Care Services (Posted 10/23/2020), UPDATED: COVID-19 Updates for Long-Term Services and Supports (LTSS) Providers (Posted 10/23/2020), UPDATED: Temporary EVV Policies for Novel Coronavirus (COVID-19) (Posted 10/23/2020), UPDATED: Office Visit Co-payments Waived for CHIP Members (Posted 10/23/2020), UPDATED: Superior Telemedicine and Telehealth Service Updates (Posted 10/23/2020), UPDATED: HHS Notice: Claims for Telephonic Behavioral Health and Medical Services (Posted 10/23/2020), UPDATED: Texas Health Steps Medical Checkups: Guidance for Remote Delivery During COVID-19 (Posted 10/23/2020), UPDATED: Financial Management Services Agencies May Suspend Face-to-Face Activities Through 11/30 (Posted 10/23/2020), Revised EVV Policies Effective 10/1 and Best Practices for Temporary Policies for COVID-19 (Posted 10/21/2020), COVID-19 Procedure Code Additions and Updates (Posted 10/13/2020), A Network that Provides Seamless COVID-19 Care for Your Patients (Posted 09/29/2020), Complete by 10/16: COVID-19 Expansions of Telehealth Survey (Posted 09/22/2020), UPDATED: Deadline Extended to 9/13: Apply for Medicaid and CHIP Provider Relief Fund (Posted 09/01/2020), COVID-19 Public Health Emergency Extended by Federal Government (Posted 08/26/2020), HHS Nursing Facility Payment Add-ons and Required Provider Attestation (Posted 07/30/2020), Deadline Extended to 8/3: Apply for Medicaid and CHIP Provider Relief Fund (Posted 07/22/2020), Due 7/20: Apply for CARES Act Provider Relief Fund (Posted 07/16/2020), Latest Waiver Extension for Chronic Pain Patients by Governor Abbott (Posted 07/16/2020), Medicare DRG Increase for COVID-19 Treatment Services Under CARES Act (Posted 07/16/2020), Allwell Extends $0 Member Liability for Primary Care, Behavioral Health and Telehealth Services (Posted 06/22/2020), Register for "Identifying Mental Health Issues, Child Abuse and ACEs During a Pandemic" Webinar (Posted 06/02/2020), UPDATED: COVID-19 UPDATE: Temporary Suspension of Polymerase Chain Reaction (PCR) Testing Payment Policy (Posted 05/27/2020), TPS Offers Immunizations and Back-to-Office Resources (Posted 05/27/2020), Office Visit Co-payments Waived for CHIP Members (Posted 05/21/2020), Texas Health Steps Medical Checkups: Guidance for Remote Delivery During COVID-19 (Posted 05/12/2020), Families First Coronavirus Response Act: Temporary Rules for Emergency Leave (Posted 05/12/2020), Waiver for Chronic Pain Patients Extended by Governor Abbott (Posted 05/11/2020), Financial Management Services Agencies May Suspend Face-to-Face Activities Through 5/31 (Posted 05/01/2020), 4/29 & 5/6 WEBINARS: COVID-19 and Suicide Prevention (Posted 04/29/2020), Prescribing Controlled Substances During the COVID-19 Public Health Emergency (Posted 04/22/2020), COVID-19 Updates for Long-Term Services and Supports (LTSS) Providers (Posted 04/21/2020), Occupational, Physical and Speech-Language Therapy: Updated Codes, Classifications for Telehealth (Posted 04/20/2020), Superior Offers COVID-19 Support for Grant Writing and Small Business Loan Applications (Posted 4/16/20), Information on the Coronavirus Aid, Relief and Economic Security (CARES) Act (Posted 04/13/2020), Gain Access: Provide Virtual Care to Your Patients (Posted 04/09/2020), Maintaining Clinical Preventive Services During the COVID-19 Pandemic (Posted 04/08/2020), COVID-19 Update: Extension of Prior Authorization for Some Acute Care Services (Posted 04/07/2020), Medicaid and CHIP Pharmacy Benefit Updates Related to the Coronavirus Outbreak (Posted 04/03/2020), UPDATED: HHS Notice: Claims for Telephonic Behavioral Health and Medical Services (Posted 03/30/2020), UPDATED: Superior Telemedicine and Telehealth Service Updates (Posted 03/30/2020), Cures Act EVV: New 5/1 Deadline to Select EVV System and Onboarding (Posted 03/30/2020), Temporary EVV Policies for Novel Coronavirus (COVID-19) (Posted 03/30/2020), New HCPCS Codes for COVID-19 Testing (Posted 03/27/2020), COVID-19 UPDATE: Temporary Suspension of Polymerase Chain Reaction (PCR) Testing Payment Policy (Posted 03/26/2020), Mental Health and Coping Strategies During COVID-19 (Posted 03/26/2020), Superior HealthPlan Telemedicine and Telehealth Service Updates (Posted 03/20/2020, updated 3/26/20), HHS Notice: Claims for Telephonic Behavioral Health and Medical Services (Posted 03/24/2020), No Co-Pays or Cost Sharing for Telehealth Visits and COVID-19 Testing (Posted 03/16/2020), COVID-19: Actions and Guidance for Providers (Posted 03/13/2020), Superior Taking Additional Steps to Protect Members' Health amid COVID-19 Outbreak (Posted 03/13/2020), Clinical Policy: Diagnostic Testing Guidelines for 2019-Novel Coronavirus - Effective 04/01/2020 (Posted 03/10/2020), UPDATED 3/6/2020: CDC.gov Facts about Coronavirus (COVID-19) (Posted 03/06/2020), Upcoming COVID-19 Informational Events and Additional Resources, CMS Guidance for Nursing Homes: Infection Control and Prevention of COVID-19 (Posted 03/06/2020), Texas HHS Offers Coronavirus Recommendations and Resources for Long-Term Care Facilities (Posted 03/05/2020), CDC.gov Shares the Facts about Coronavirus (Posted 02/27/2020). A written complaint can also be mailed or faxed to: Superior HealthPlan Have a comment or question? *. Symptoms may appear 2-14 days after exposure. To fix the issue, providers will need to take the following steps: For any questions or help, please contact Provider Services at 1-877-391-5921.

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