REVISED: Provider Statement of Need Form for PAS, PCS and HAB Services
Date: 07/30/18
Superior HealthPlan modified policies on April 1, 2017, to require a Provider Statement of Need (PSON) form for Personal Assistance Services (PAS), Personal Care Services (PCS) and Community First Choice (CFC) Habilitation (HAB) for the STAR+PLUS, STAR Kids, STAR Health and STAR+PLUS MMP programs.
Superior received valuable feedback from providers regarding the original PSON form and has modified the form to enhance usability and provide clear instructions for processing requests. The new form will “Go Live” on August 1, 2018:
As a reminder, the PSON process does not replace the process for assessing Superior members for PAS, PCS and HAB services. It is an additional element to facilitate holistic collaboration between the provider and Superior’s Service Coordination team, which includes increased communication regarding the member’s functional needs and the way those needs are being met, as well as the opportunity to ensure that any underlying medical conditions or complications are addressed by appropriate medical professionals.
The PSON process is also designed to maintain consistency among Medicaid programs and facilitate transitions between them, in compliance with updated contractual requirements implemented by the Texas Health and Human Services Commission, which require that a PSON process be implemented for both STAR Kids and STAR Health.
For any questions, please feel free to contact your dedicated Account Manager, or Provider Services at 1-877-391-5921.