News

ATTENTION: CHANGES EFFECTIVE ON NOVEMBER 1, 2017

Date: 06/01/2017

ATTENTION: Behavioral health providers who serve Superior HealthPlan members in the following programs:

• STAR
• STAR Health
• STAR Kids
• STAR+PLUS
• STAR+PLUS MMP
• Medicare Advantage (HMO and HMO SNP)
• Ambetter from Superior HealthPlan

Effective November 1, 2017, management of behavioral health functions will transition from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. This integration will unite best-in-class services under one name and will provide several benefits to members and providers, including:

• A fully integrated delivery model for medical and behavioral health services, supporting the needs of both members and providers.
• An enhanced member experience with centralized medical and behavioral health services and benefits to provide continuity in care.
• A streamlined approach to delivering service and support, with a single point of contact and benefits administration for providers.

As the November 1 effective date approaches, additional information will be provided to behavioral health providers to facilitate the transition.

BEHAVIORAL HEALTH CLAIMS CHANGES EFFECTIVE ON NOVEMBER 1, 2017:

  • The address for filing paper claims will remain unchanged, but should be addressed to Superior HealthPlan at:
    • Superior HealthPlan

Behavioral Health Claims
PO Box 6300
Farmington, MO 63640-3806

  • The Payer ID for electronic data interface (EDI) claims will change to 68069.
    • Superior’s preferred EDI claims clearinghouse is Availity

To facilitate a seamless transition, a representative from Superior will be contacting behavioral health providers to discuss transitioning contracts from Cenpatico to Superior.

We are aware that you may have questions on how this integration will affect your practice and are available to help you every step of the way.

For questions, please reach out to your Cenpatico Provider Relations Specialist at 1-800-716-5650, or you may call Superior’s Provider Services hotline at 1-877-391-5921.