Centene / Superior HealthPlan
Welcome to the Superior HealthPlan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Gina Braswell.
Update on COVID-19
Documents
*Updated documents providing clarification on prior authorization requirements for CCTA, Stress Echo, Echocardiography and Nuclear Cardiology procedures.
- Superior HealthPlan Quick Reference Guide for Ordering Physicians - Updated 4/2/18*
- Superior HealthPlan Quick Reference Guide for Imaging Providers - Updated 4/2/18*
- Superior Healthplan Provider FAQ
- Superior HealthPlan Medicaid RBM Utilization Review Matrix-2021
- Superior HealthPlan Medicaid Star Plus RBM Utilization Review Matrix-2021
- Superior HealthPlan Provider Education Presentation
- Superior HealthPlan Prior Authorization Checklist (non-cardiac)
- Superior HealthPlan Prior Authorization Request Form
- Superior HealthPlan Spine MRI and Spine CT Test Request Tip Sheet
- Superior HealthPlan Pediatric Tip Sheet
Cardiac Educational Documents
- Cardiac Solution Tip Sheet
- MPI versus Stress Echo Tip Sheet
- Superior HealthPlan Cardiology Checklist
- Superior HealthPlan/NIA Cardiac Intro Letter
- Superior HealthPlan Cardiology Frequently Asked Questions
- Superior HealthPlan/NIA Cardiac Intro Letter for Facilities
Facility Scheduling Program
- Superior HealthPlan Facility Selection and Member Scheduling Provider Announcement Letter
- Superior HealthPlan Questions and Answers Document for Facility Scheduling Program
- Superior HealthPlan Facility Selection and Member Scheduling Provider Announcement Letter
RadMD
- Ordering Provider Access
- RadMD Quick Start Guide
- RadMD Benefits and Logon
- RadMD Upload Feature
- Submitting Clinical Information on RadMD
- RadMD View Exam with Tracking Number
- RadMD Shared Access Quick Start Guide
- RadMD Flyer
Interventional Pain Management (IPM)
- Superior HealthPlan Interventional Pain Management (IPM) FAQ - Effective 1/1/21
- Superior HealthPlan Interventional Pain Management (IPM) QRG - Effective 1/1/21
- Superior HealthPlan Interventional Pain Management (IPM) Provider Education Presentation - Effective 1/1/21
- Superior HealthPlan Non CHIP Interventional Pain Management Utilization Review Matrix-2021
- Superior IPM Recording of Provider Physical Medicine Training
Recorded General Trainings
Recorded RadMD Demos
Click the link below to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA
Clinical Training Modules
We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request. Click here to access them.