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 Web site to obtain and check authorizations.
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 (PDF 140K) - Updated 4/2/18*
- Superior HealthPlan Quick Reference Guide for Imaging Providers (PDF 110K) - Updated 4/2/18*
- Superior Healthplan Provider FAQ
- Superior HealthPlan / NIA CPT Code Matrix - 2019
- Superior HealthPlan Provider Education Presentation (PDF 3,151K)
- Superior HealthPlan Prior Authorization Checklist (non-cardiac) (PDF 236K)
- Superior HealthPlan Prior Authorization Request Form (PDF 1,712K)
- Superior HealthPlan Spine MRI and Spine CT Test Request Tip Sheet
- Superior HealthPlan Pediatric Imaging Spine MRI and Spine CT Test Request Tip Sheet (PDF 804K)
Cardiac Educational Documents
- Cardiac Solution Tip Sheet
- MPI versus Stress Echo Tip Sheet
- Superior HealthPlan Cardiology Checklist (PDF 37K)
- Superior HealthPlan/NIA Cardiac Intro Letter (PDF 29K)
- Superior HealthPlan Cardiology Frequently Asked Questions (PDF 96K)
- Superior HealthPlan/NIA Cardiac Intro Letter for Facilities (PDF 64K) -
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 (PDF 81K)
RadMD
- RadMD Benefits and Logon (PDF 78K)
- RadMD Quick Start Guide (PDF 44K)
Click here to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
-
Refer to the Utilization Review Matrix document to view specific codes managed by NIA