FLASH: Health Alliance Prior Authorization Changes for 2024
October 17, 2023Each year, Health AllianceTM performs a comprehensive review and analysis around services needing prior authorization. In our last review cycle, we removed prior authorization around ultrasound, oxygen therapy, non-urgent ground ambulance and select DME items.
Health Alliance will add vascular intervention services to our Standard Prior Authorization list effective January 1, 2024. Requests for these services should be submitted for review to eviCore healthcare using our established workflow through our portal. Requests with dates of service after January 1, 2024, can be created beginning on December 18, 2023.
As your trusted partner, we are committed to evidence-based clinical guidelines that help ensure optimal clinical outcomes and value for your patients and our members. The eviCore guidelines can be found here.
Our Health Alliance Provider Relations team and eviCore colleagues will partner to share training resources for you and your staff. Please see the following dates and times to register for a live Webex training session.
| Day | Date | Time |
| Tuesday | 12/5/2023 | 11:00 AM EST |
| Thursday | 12/7/2023 | 2:00 PM EST |
| Monday | 12/11/2023 | 12:00 PM EST |
| Friday | 12/15/2023 | 3:00 PM EST |
| Monday | 1/8/2024 | 1:00 PM EST |
| Tuesday | 1/9/2024 | 10:00 AM EST |
Please read the following instructions to register for and participate in a session:
1. Please go to http://eviCore.webex.com.
2. Select “Webex Training” from the menu bar on the left.
3. Click the “Upcoming” tab. Choose: HA/FCC Vascular Intervention Training or
you can also search by entering HA/FCC.
4. Click “Register” next to the session you wish to attend.
5. Enter the registration information.
After you have registered for the Webex session, you will receive an email containing the toll–free phone number and meeting number, conference password and a link to the web portion of the session. Please keep the registration email so you will have the link to the web conference and the call–in number for the session in which you will be participating.
Below are the list of service codes (CPT) which will be added to the Health Alliance Standard Prior Authorization list. This master list includes a table of allowable substitution and add-on codes.
Please login to Provider.HealthAlliance.org to perform a member-plan specific search to determine whether the requested CPT and HCPCS codes require prior authorization and contact our Customer Solutions team with any questions.