Effective 1/1/26: Medicare-Medicaid Plan (MMP) is transitioning to an aligned Dual Special Needs Plan

Starting January 1, 2026, Superior HealthPlan will introduce an aligned Dual Special Needs Plan (D-SNP) in Texas. As per CMS directives, our current STAR+PLUS Medicare-Medicaid Plan (MMP) will end on December 31, 2025. Members will be automatically transferred to the new aligned D-SNP, named Wellcare By Superior HealthPlan.

Similar to MMP, this new plan is crafted for individuals eligible for both Medicare and Medicaid, enabling a single healthcare organization to coordinate and manage their benefits.

Key Information for Providers:

To assist with this transition, you can review tools and resources available at go.wellcare.com/SuperiorTXExternal Link.  From there, click For Providers to access:

• A link to register for the Secure Provider PortalExternal Link

• The Provider Manual and Quick Reference Guide(s)

• Frequently Asked Questions (PDF) regarding this transition

 HHSC Webinar for Providers:

The Texas Health and Human Services Commission (HHSC) will also host a webinar on November 20, 2025, to discuss aligning enrollments between an Integrated Dual Eligible Special Needs Plan (D-SNP) and a STAR+PLUS plan for members receiving Medicare and Medicaid services.

To register in advance and obtain more details, refer to MEDICAID PROVIDERS: Ending the Dual Demonstration and a New Enrollment Option for Dual Eligible Members.

Contact Information:

If you have further questions about this change, your contract status, or joining our network, your Provider Representative is available to assist. To find their contact information, please visit: SuperiorHealthPlan.com/FindMyProviderRep

You can also contact Provider Services at 1-855-445-3572 (phone number effective 12/1/25).