Superior Patients Must Re-verify Eligibility

Md and CHIP Patients Required to Verify!

Medicaid and CHIP patients are required to verify their eligibility EVERY YEAR or risk losing it. 

Superior

Coming Soon: PEMS

Coming Soon: TMHP Provider Enrollment and Management System (PEMS)

Providers should plan for the following changes on December 13, 2021:

  • PEMS will replace Provider Enrollment on the Portal (PEP) and the Provider Information Management System (PIMS).
  • PEP and PIMS will no longer be available.
  • Paper applications for Texas Medicaid provider enrollment will be eliminated with the new online system.
  • Providers must have access to the internet to utilize PEMS and use up-to-date internet browsers for optimum performance of the PEMS portal. Use Google Chrome or Microsoft Edge to reduce compatibility issues
Superior

Prior Auth Changes, Superior

Prior Authorization Changes,

Effective September 1, 2021

New Codes Requiring Auths:

  • 33270
  • 33271
  • 33274

Prior Auths Removed: 

  • 33273
  • 93287
  • 93290

Updated Plan Reps

The  Health Plan Representative Contact List has been updated. 

Health Plan Representatives

The Representative List has been updated

Health Plan Representatives Updated 2/25/2021

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Medicaid Map Updated 09/24/2020

Feel free to print a copy for your office.

Medicaid Map Updated 09/24/2020

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2020/09/09242020-Medicaid-Map1.docx” download=”all” viewer=”microsoft”]

Superior: CoVID-19, Billing and Claims Information: Customized to you.

Providers are able to receive customized news updates from Superior relevant to their specialty, region or Superior products. Follow the link to find out how.