MUST-HAVE: Provider Resources and Tools

Date: 12/08/22

Superior equips providers with the most up-to-date provider resources and tools they need to deliver the best quality of care to Superior HealthPlan Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Ambetter from Superior HealthPlan and Wellcare By Allwell (HMO and HMO DSNP) members. 

Below is a list of commonly-used resources and helpful tools:

• Billing and Coding
• Clinical, Payment and Pharmacy Policies​​​​​
• Important Provider Websites
• Prior Authorization Requirements
• Provider Forms
• Provider News and Information
• Provider Resources & Quick Reference Guides
• Provider Quality Care
• Provider Training Calendar
• Secure Provider Portal
• Medicaid Specific Resources and Tools:
  • Provider Toolkit
  • Prior Authorization Tool
  • STAR Health Resources
• Ambetter Specific Resources and Tools:
  • Payspan  – Electronic Funds Transfer (EFT)
  • Pharmacy Resources
  • Pre-Auth Needed Tool
  • Prior Authorization Guide
  • Provider and Billing Manual
  • Provider Training
  • Quick Reference Guide
• Wellcare Specific Resources and Tools:
  • Prior Authorization Tool
  • Model of Care Training
  • Pharmacy Benefits
  • Provider Manual
  • Provider Training
  • Quick Reference Guide (PDF)
  • Wellcare vs. Wellcare By Allwell Guide (PDF)

For questions, please reach out to your dedicated Account Manager.