You will need Adobe Reader to open PDFs on this site. If the issue is not resolved in a timely manner, caregivers should contact their CPS caseworker. You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. Our Member Services staff is available from 8 a.m. to 5 p.m. Monday through Friday. STAR Health covers children and youth in Child Protective Services (CPS) foster care and kinship placements, 18 -21 year olds who are in a DFPS placement, and young adults who receive Medicaid from the Former Foster C are Program. Opinion Columnist. If you speak another language or need an interpreter, call Member Services for help. Contact Us If you have any questions about the STAR Health program, you can fill out our online contact us form. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Personal medical information for STAR Health members, all in one place. Schedule an appointment: 210-358-4000. Simply call Superior Member Services. You or your representative must ask for the External Medical Review within 120 days of the date Superior mails the letter with the internal appeal decision. Keep track of benefits, checkups and other important information. Simply call Superior Member Services. This company does not hold itself responsible for any transactions the customers may enter into with entities misrepresenting themselves on behalf of Star Health and Allied Insurance Co Ltd. Watch this new video to learn about the positiveimpact Superior and its Foster Care Centers of Excellence (FCCOE) have had on members in STAR Health. Their cashless treatment facility was very helpful at the time. . Caseworkers should let the DFPS well-being specialist know of any issues or concerns about STAR Health. Need help managing chronic or complex conditions? These services are available to these children no matter where they are in the state and even when they move. Vision and hearing care. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Cherish your 50's without worrying about your medical expenses. Superior provides extra benefits and services for STAR Health members. Access to healthcare through a network of providers (doctors, nurses, hospitals, clinics, psychiatrists, therapists, pharmacies, etc.). Share your interactive ePaper on all platforms and on your website with our embed function, PROVIDER TRAINING STAR Health - Fostercare Texas. Children in DFPS conservatorship (under age 18). To find your local Account Manager (AM), please visit Find My Account Manager. English and Spanish-speaking nurses are available. STAR Health is a comprehensive, managed care program designed to better coordinate and improve access to health care for: Children in DFPS conservatorship (under age 18); Youth in CPS extended foster care (ages 18 to 22); Youth who were previously under DFPS conservatorship and have returned to foster care through voluntary foster . Members and caregiverscan also call 24 hours a day, 7 days a week, to speak with a licensed mental health professional for questions or for help getting emergency behavioral health services. Helping people is at the heart of all we do We're here for you. Superior offers resources to help educate and connect youth, parents and those working with youth who identify as LGBTQ+. Top Story | ANC (20 July 2023) | Catch the top stories of the day on ANC's 'Top Story' (20 July 2023) | By ABS-CBN News - Facebook | are working for so that the company can sanction them themselves. The email is not encrypted and is not transmitted in a secured format. Below are also several important phone numbers and a description of some of the services Superior offers members, caregivers, providers and agencies. PROVIDER TRAININGSTAR HealthMAR2010.IMHSPROVIDER1. Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software. Superior wants to help all children in foster care get well and stay well. Updating Provider Demographic Information, About Texas Foster Care Centers of Excellence. You can request NEMT services through Superiors Medical Ride Program provided by SafeRide. Superior HealthPlan Superior HealthPlan What changes are occurring with Texas Vendor Drug Program? Medical Consenters, health care providers, DFPS caseworkers and STAR Health staff may have access to the information. We Do More for STAR Health Members in Texas. The Superior HealthPlan Provider Directory is a list of physicians, hospitals, drug stores, dentists and other healthcare providers that are available to you. Medical consenters should request a PCP who is a Texas Health Steps provider. Extensive healthcare protection for your family. Review theFind a Provider Flyer (PDF)for more information on our tool before you begin your search. STAR Health members can get regular checkups, exams, primary care and specialist care when needed. Young adults who have remained in DFPS extended foster care placements up to the month of their 22nd birthday. Easily manage your foster childs health. Superior also works closely with foster care families and medical consenters. I can confidently recommend Star Health Insurance to all my friends. An External Medical Review is an optional, extra step you can take to get the case reviewed for free by an Independent Review Organization before the State Fair Hearing through HHS. If you have an emergency or crisis, call 9-1-1, visit the emergency room or call 988 to reach the National Suicide Prevention Hotline. See the STAR Health website at www.fostercaretx.com. Cover your entire family under a single roof. Search for Primary Care Providers, hospitals, pharmacies and more. Watch this new video to learn about the positive impact Superior has had on members in STAR Health. DFPS staff may also reference the DFPS Regional Boundaries Map (PDF) to find which CANS provider listing is applicable to their area. Superior Healthplan Star+plus Medicare Age 21 or older at the time you join. They can also help you get a provider's: More information on how to choose a PCP can be found in your member handbook. STAR Health will research the situation and provide direction. AAPCA members who get Supplemental Security Income (SSI), Medicare, or 1915 (c . STAR Health is a managed health care program for Foster Care clients in Texas implemen ted on April 1, 2008. Superior wants to help all children in foster care get well and stay well. Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. The needs of the people can vary, so know about the different types of insurance and stay protected during uncertainties. Valuable Service Providers are the hospitals handpicked by Star Health and recognised for their quality treatment and quick claim settlement. Medical checkups, including Texas Health Steps. Sharing local resource guides that list LGBTQ+ support centers, such as counseling and STD and HIV testing sites. For Members & Caregivers Superior HealthPlan offers the services in all 254 Texas counties under a contract with the Texas Health and Human Services Commission (HHSC). Superior wants to make sure you can easily find social services and other resources in your area. DFPS staff should contact their regional well-being specialist for assistance. Health Passport to makemore health history and health information available to DFPS caseworkers, medical consenters, doctors, and other healthcare providers. Finding a trustful hospital for getting treatment can be quite challenging. I had tried other companies. 342. Updating Provider Demographic Information, Texas Health and Human Services Commission (HHSC), Texas Ombudsman Managed Care Assistance Team, About Texas Foster Care Centers of Excellence, Fill out the State Fair Hearing and External Medical Review Request Form provided as an attachment to the Member Notice of Superior's Internal Appeal Decision letter and mail or fax it to Superior by using the address or fax number at the top of the form; or. You can call the 24-hour nurse advice line at 1-866-912-6283 to get answers to health questions, ask about referrals or seek specialty consultations. Recruitment of providers with a history of treating children who have been abused or neglected. Call us at 1800 425 2255 / 1800 102 4477 to clear your queries. Along with cashless treatment facilities these hospitals also provide seamless services. Below are also several important phone numbers and a description of some of the services Superior offers members, caregivers, providers and agencies. I have been using Mediclaim services for the last 7-8 years. Your doctor might want you/your child to see a special doctor (specialist) for certain health-care needs. Over the Counter Pharmacy Services that will cover $30 every 3 months for over-the-counter medications through a mail order program. Star Health Insurance. You cannot request an External Medical Review without also requesting a State Fair Hearing. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. These services are valid from 9/1/22 through 8/31/23. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Specially crafted policy for senior citizens to stay financially protected. Your Superior HealthPlan Medicaid coverage may expire soon. Transportation services for Superior members are provided by SafeRide. What's Covered for Members Dental benefits for you or your child includes statewide coverage and the following services: Exam cleaning and fluoride treatment every six (6) months Well-being specialists are DFPS liaisons to Superior HealthPlan, the company that operates the STAR Health provider network. Call 911 if you have an emergency and think your life is in danger. It allows members to ask the Texas Health and Human Services Commission (HHSC) to review their case. About Us MD Kids Pediatrics is the new pediatric practice in the Metroplex. Fast forward to today and Superior continues to set the standard for removing barriers and providing quality health care for both mental and physical health needs through the STAR Health program. For help finding a provider or making an appointment, call member services at 1-866-912-6283. Discover Superior HealthPlan. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information, Effective 1/1: Electronic Prescribing of Controlled Substances Required, Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP, Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization Requirements for DME, Orthotic, and Enteral/Parenteral Nutrition and Medical Supplies, Javelina legend and NFL hall of famer Darrell Green gives back to Kingsville, Superior HealthPlan, Pro Football Hall of Famer Darrell Green Help Make First Back-to-School Community Fair & Fest in Kingsville a Success, Provider Notice of Adverse Benefit Determinations, Superior to Override Timely Filing for Claims Impacted by Texas Medicaid Healthcare Partnerships (TMHP) Eligibility Verification Issues. Download the free version of Adobe Reader. About Texas Foster Care Centers of Excellence. STAR Health members who want to file a state fair hearing can call 1-877-398-9461. Connecting you with other resources that can help LGBTQ+ youth stay safe. Vision and hearing care. Boys & Girls Club Membership for children ages 6 through 18 years old. Before STAR Health, data clearly showed children in DFPS conservatorship have increased health care needs. Physical health care for a child in conservatorship was five times the cost of care for a child receiving Medicaid but not in DFPS conservatorship. Behavioral health care costs were 40 times the cost for children not in conservatorship. To see a list of providers in your area who can do a CANS assessment, click below. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Our best Health Insurance Policies cater to your needs. Please use Microsoft Edge, Google Chrome, Firefox or a mobile web browser. Such hospitals facilitate cashless treatment for both planned and emergency hospitalisation. A representative from STAR Health will speak with the provider to resolve the situation. Note: no change in health plans for children in STAR Health (foster care) or CHIP Counties: Cameron, Duval, Hidalgo, Jim Hogg, Maverick, McMullen, Starr, Webb, Willacy, Zapata Driscoll Children's Health Plan (STAR) Provider services: 855-425-3247; Prior Authorization and referrals: 877-455-1053 www.dchpkids.com Health Spring (STAR+PLUS) Young adults who were previously under DFPS conservatorship and have returned to DFPS extended foster care placements through voluntary foster care agreements up to the month of their 21st birthday. The biggest advantage of Network Hospital is that you dont have to spend your hard-earned savings or bank balance to avail quality treatment. Download the free version of Adobe Reader. A person can buy Individual Health Insurance as soon as they turn 18 years of age. Clinical service management and disease management, Help-lines for consumers and healthcare providers, Physical, occupational, speech, and other health-related services, Complex case management for children with high medical or behavioral health needs. This is called a referral. The resources Superior provides can help address questions and concerns youth and parents may have. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal, or you can call us at1-866-912-6283 to speak directly to a customer service representative. Good health drives the growth of the nation. Members of Superior can talk to a nurse 24 hours a day, 7 days a week through Superiors nurse advice line. Expanded vision benefits providing $150 for choice of upgraded eyeglass frames and lenses or contact lenses not covered by Medicaid. I was covered under Stars Comprehensive policy, which provided me cashless treatment at their network hospital during my Angioplasty surgery. Service Coordinators are available to help you coordinate your/your childs medical and behavioral health care. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Star Health and Allied Insurance Co Ltd, IRDA licensed stand-alone health insurer, hereby makes it clear to customers and would be customers and those visiting this website, run officially by this company for its benefit and the interest of its stakeholders, that there could be websites or entities running duplicate sites and offering for sale products belonging to this company.
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