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Effective 9/1: STAR+PLUS MCO-to-MCO Transfer of Authorizations

Date: 09/26/24

Superior HealthPlan would like to remind providers that STAR+PLUS contract changes are now effective as of September 1, 2024. For more information, please review Superior’s STAR+PLUS: Contract Award Updates notice.

Provider authorizations have been received from other Managed Care Organizations (MCOs) and converted to Superior’s authorization format. Providers are encouraged to utilize Superior's Secure Provider Portal to obtain authorization information for all Medicaid/CHIP members. Prior authorization requests can be submitted by phone, fax or online through Superior's Secure Provider Portal.

Authorization Requests

  • Phone Requests: Authorization phone requests require subsequent submission of applicable documentation and clinical information to facilitate the medical necessity review of the request.
  • Fax Requests: Providers should include a completed Authorization Request form and all required documentation and clinical information with an authorization request submitted through Fax.
    • Physical Health: 1-800-690-7030
    • Behavioral Health: 1-866-570-7517
    • Clinical Administered Drugs (CAD):  1-866-683-5631
    • Prescription Drugs: 1-833-423-2523
    • STAR+PLUS Long-Term Support Services (LTSS): 1-866-895-7856

Superior’s Secure Provider Portal

  • The secure provider portal includes notation of “required fields” for submission of all necessary information for a complete authorization request.
  • Providers who do not currently have access to the secure provider portal for authorization submissions can create an account by visiting Superior's Secure Provider Portal.
  • Providers who require training on the appropriate procedures for authorization request entry through the secure provider portal should contact their Superior Account Manager.

For the latest updates, including information on transition authorizations that may impact you for the STAR+PLUS members that you serve, please continue to reference Superior's Provider News & Information webpage.

If you have any questions, please contact your local Account Manager. To access their contact information visit Find My Account Manager.