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SUPERIOR HEALTHPLAN STAR+PLUS

SUPERIOR HEALTHPLAN STAR+PLUS 2025

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The document is an Outpatient Authorization Form for the Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan, used to request additional units for existing authorizations. It outlines the process for standard and expedited authorization requests, required fields for member and provider information, and emphasizes the necessity of complete forms and supporting clinical information. The document also includes confidentiality disclaimers and notes that authorization does not guarantee payment.

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Click ‘Get Form’ to open the SUPERIOR HEALTHPLAN STAR+PLUS authorization form in the editor.
Begin by filling in the MEMBER INFORMATION section. Enter the Member ID and Date of Birth in the required fields marked with an asterisk (*).
Next, complete the REQUESTING PROVIDER INFORMATION. Fill in your Requesting NPI, TIN, Contact Name, and Provider Name along with Phone and Fax details.
If applicable, indicate if the Servicing Provider is the same as the Requesting Provider. If not, provide their NPI, TIN, Contact Name, and Facility Name.
In the AUTHORIZATION REQUEST section, enter the Primary Procedure Code and any Additional Procedure Codes as necessary. Ensure you include all required ICD-10 codes for diagnosis.
Specify the Outpatient Service Type by selecting from the provided options and fill in relevant dates for service requests.
Review all entries to ensure completeness; incomplete forms will be rejected. Attach any supporting clinical information before submitting.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is Texas Medicaid insurance called?

STAR Medicaid Managed Care Program. Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

What type of insurance is Superior HealthPlan?

Working with the Texas Health and Human Services Commission (HHSC), Superior HealthPlan offers STAR (Medicaid), Childrens Health Insurance Program (CHIP), STAR+PLUS, STAR Kids, and STAR Health. Since 2008, we have been the exclusive provider of STAR Health, which supports children and youth in foster care.

What are the four types of Medicaid in Texas?

Medicaid Traditional Medicaid. STAR. STAR Kids. STAR Health. STAR+PLUS.

What is the best way to docHub Superior Health Plan?

Get in Touch with Superior HealthPlan If you have STAR or CHIP coverage, call 1-800-783-5386 to speak with a Superior HealthPlan representative. If you have any other type of coverage from Superior, you can find the right phone number below to get in touch with the right team.

What is the star plus Medicaid plan in Texas?

STAR+PLUS is a Texas Medicaid-managed care program for adults who have disabilities or are age 65 or older. Adults in STAR+PLUS get Medicaid healthcare and long-term services and support through a health plan that they choose.