FLASH: May 2017 Preauthorization Changes
March 1, 2017As we’d shared in our February newsletter, we notified offices of the May 1 preauthorization changes. However, sleep studies was missing from that notification.
As we’d shared in our February newsletter, we notified offices of the May 1 preauthorization changes. However, sleep studies was missing from that notification.
In addition to the eviCore trainings that you may have attended, we’re adding Clear Coverage training for your specific specialty. We know many of you are actively preparing for our upcoming preauthorization requirements, and we want to make sure you’re getting the training you need for these changes.
Important Update Regarding Preauthorizations We know many of you are actively attending training and reviewing current workflows in preparation for our upcoming preauthorization requirements. Our partnership with eviCore is progressing as expected, and we’re looking forward to improved turnaround times for our members and providers.
Starting March 1, 2017, you should submit preauthorization requests for durable medical equipment (DME), home health, and home oxygen through Clear Coverage instead of through our preauthorization forms on Your Health Alliance for providers.
Starting March 1, 2017, we will partner with eviCore, a national specialty benefit management company that focuses on managing quality and use for better outcomes for our patients, providers, and Health Alliance. eviCore will manage some preauthorization services for our commercial and Medicare lines of business to help us address the needs of our expanding complex member populations.