Update Information | Trainings | Events | Portal | Contact Us
4/1: Prior Auth Removal
Effective April 1, 2026, participating Superior and Ambetter providers will no longer need prior authorization for certain services and procedure codes.
Obtain the full list of changes to see how your practice may be impacted.
PCP Changes? Review Requirement
PCP change and transfer requests must follow federal, state, and health plan guidelines. Missing documentation can affect effective dates and member assignment.
Review the requirements now to ensure your requests are processed correctly.
Your Feedback Is Critical: Respond When Contacted
Your feedback from the Provider Satisfaction Survey helps us streamline processes and better support your office. Your survey response helps us prioritize changes that matter most to you.
Don’t skip the survey when contacted.
Transition Details for Auths and Claims
Wellcare By Superior HealthPlan began providing coverage for dual-eligible members (who have both Medicaid and Medicare under one health plan) on 1/1. Providers can review one member ID card and one combined explanation of payment for Medicare and Medicaid services.
See the key differences and payment updates now to avoid billing or payment disruption.
New: Provider Performance Results
Superior members rated their health care experience in the 2025 CAHPS survey, and these results impact Star ratings, NCQA rankings and plan performance measures. They also reflect both provider office interactions and overall member experience.
Access the full results and Provider Tip Sheet to see how you can help improve future ratings.
Superior HealthPlan offers STAR, STAR+PLUS, STAR Kids, STAR Health (foster care), CHIP, CHIP Perinate, Ambetter from Superior HealthPlan, Ambetter Health Solutions, Wellcare By Allwell (HMO and HMO DSNP), Wellcare By Superior HealthPlan (Dual Align) and Wellcare.
To ensure a member’s health is not compromised, providers are required to have their contact and demographic information up-to-date. Providers should notify Superior of any changes, if they can no longer accept new patients or are leaving the network. Update Your Information Here
