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Effective March 31, 2025: New and Revised Clinical Payment Policies

Date: 12/30/24

Superior HealthPlan, Ambetter from Superior HealthPlan and Wellcare By Allwell present new and revised clinical payment policies as detailed below. As a result, the following policies have been posted on Superior’s Clinical, Payment and Pharmacy Policies webpage for awareness, prior to implementation:

POLICY

EFFECTIVE DATE

APPLICABLE PRODUCTS

NEW POLICY OVERVIEW OR UPDATED POLICY REVISIONS

Allergy Testing and Therapy (TX.CP.MP.100)

March 31, 2025

Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, Health Insurance Marketplace (Ambetter from Superior HealthPlan

Revised Allergy Testing and Therapy policy to incorporate requirements provider medical recordkeeping requirements for allergy testing and therapy services and added provider attestation forms for non-Allergist specialty providers to policy.

Endometrial Ablation (MC.CP.MP.106)

March 31, 2025

Wellcare By Allwell[ HMO,HMO D-SNP]

New policy that describes the medical necessity guidelines for an endometrial ablation.


To review all policies, please visit Superior’s Clinical, Payment and Pharmacy Polices webpage. For questions or additional information, please contact Provider Services at: