IMPORTANT NOTICE TO BEHAVIORAL HEALTH PROVIDERS: Mental Health Rehabilitation and Mental Health Targeted Case Management Provider Attestation Requirements

Date: 11/01/21

In compliance with Chapter 15.3 of the Texas Health and Human Services Managed Care Uniformed Managed Care Manual, Superior Health Plan requires all Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS) and Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) providers delivering Mental Health Rehabilitative (MH-R) and Mental Health Targeted Case Management (MH-TCM) services to submit an annual attestation complying with all requirements of the SB58 Annual Attestation form.

Superior requires providers to satisfy the attestation requirements for these services as a condition of reimbursement. Effective for claims received on or after December 1, 2021, receipt of an annual attestation will be validated to proceed with payment consideration for MH-R and MH-TCM service claims.

If Superior has no record of receipt of the annual attestation for the applicable services billed, claims will be denied with reason code, “vN - Provider Not Attested”.

Providers can access the form on Superior’s Provider Forms webpage  and see training and certification requirements by visiting the following link: SB58 Attestation Form (PDF)

To ensure this annual attestation is processed, the completed form must be submitted by email to: ProviderCertifications@SuperiorHealthPlan.com. 

For any questions, please contact your local Account Manager.