Skip to Main Content

Renew by Dec. 15 for Jan. 1 coverage. Stay covered with Ambetter Health.

Renew by Dec. 15 for Jan. 1 coverage. Stay covered with Ambetter Health.

News

Effective June 15, 2021: Payment Policy - Renal Hemodialysis

Date: 03/19/21

Superior HealthPlan presents a new payment policy to communicate the reimbursement criteria for renal hemodialysis services. As a result, the following policy has been added, and is posted on Superior’s Clinical, Payment and Pharmacy Polices webpage for review, prior to its implementation:

POLICY

EFFECTIVE DATE

APPLICABLE PRODUCTS

NEW POLICY OVERVIEW OR UPDATED POLICY REVISIONS

Renal Hemodialysis (CC.PP.067)

06/15/2021

Medicaid (STAR, STAR Health, STAR Kids, STAR+PLUS), CHIP, Ambetter from Superior HealthPlan (Health Insurance Marketplace), Allwell from Superior HealthPlan – (HMO and HMO D-SNP) (Medicare)

Providers furnishing hemodialysis services are reimbursed up to three times per calendar week for each patient.

To review all payment policies, please visit Superior’s Clinical, Payment and Pharmacy Polices webpage.

For questions or additional information, please contact Superior Provider Services at:

  • 1-877-391-5921 (Medicaid [STAR, STAR Health, STAR Kids, STAR+PLUS], CHIP, Allwell from Superior HealthPlan [HMO, HMO SNP])
  • 1-877-687-1196 (Ambetter from Superior HealthPlan)