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Our resources for Texas Medicaid providers within the Superior Network includes the tools and support you need to deliver the best quality of care. Links to our Nursing Facilities Provider Manual. Table of Contents. II. SECTION 3. ELIGIBILITY AND DISENROLLMENT. Health Plan Enrollment . Ambetter network providers are important to us, because our members rely on you for quality care. Ambetter from Superior HealthPlan provides the tools and Please note: Out-of-Network providers, must bill one claim electronically, using EDI or by paper first to be set up in Superior's Secure Provider Portal. To Establishing Medical Necessity (After an Adverse Determination) Primary Care Provider (except CHIP Perinate mother) Superior Provider Manual. Superior HealthPlan offers free online accounts for providers. Create yours and access the secure tools you need today. Superior HealthPlan Provider Manual. IV. Table of Contents. Contents. SECTION 1. INTRODUCTION. Superior Policies and Objectives . Provider Manual. Texas Children's Health Plan Provider and Care Coordination | 832-828-1008 | TexasChildrensHealthPlan.org. ND-0113-074. 03-2015. Superior HealthPlan provides the tools and support you need to deliver the best quality of care. View our provider resources online now. Prior authorization (PA) for services; Claims. Coronavirus (COVID-19) information. For general Apple Health and behavioral health guidance, visit our Superior routinely reviews the Texas Medicaid Provider Procedures Manual (TMPPM) to ensure any of our clinical policies for medical necessity are not more Superior routinely reviews the Texas Medicaid Provider Procedures Manual (TMPPM) to ensure any of our clinical policies for medical necessity are not more Superior HealthPlan provides the tools and support you need to deliver the best quality of care. View our provider resources online now. For Superior HealthPlan Advantage and STAR+PLUS Medicare-Medicaid Plan products, you will need a Medicare number and for Medicaid products such as STAR, Provider and Billing Manual. 2022. Ambetter.SuperiorHealthPlan.com. AMB21-TX-HLK-00073. Ambetter from Superior HealthPlan includes EPO products.