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.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, April Sabino.
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 / NIA CPT Code Matrix
- 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
Recorded General Trainings
Recorded RadMD Demos
Click here 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