Authorization news for providers
- 07/13/2020: Transitioning to InterQual 2020
- 03/23/20: Faxes will no longer be sent for some transplant and out-of-network auth approvals
- 02/17/2020: Change to facility retrospective authorization review time frame
- 12/12/2019: How to submit home health claims beginning Jan. 1, 2020
- 12/06/2019: Medical policy updates
- 11/18/2019: Commercial auth requests removed for outpatient substance use services
- 11/06/2019: Prior auth requirements for Medicaid outpatient behavioral health therapy
- 10/30/2019: We'll no longer mail approval letters for urgent/emergent admissions for Medicare
- 10/29/2019: Home health prior auth changes Jan. 1, 2020
- 10/24/2019: Helpful tips for changing an existing authorization
- 10/07/2019: Authorizations for skilled nursing use our medical authorization request form
- 9/27/2019: Medical policy updates
- 9/26/2019: Most authorization requests moving to online submission in 2020
- 09/26/2019: Behavioral health authorization requests moving to online submission in 2020
- 07/30/2019: Applied behavioral analysis codes to be adopted Oct. 1
- 07/11/2019: Medical policy updates
- 07/10/2019: July 2019 InterQual inpatient authorizations
- 05/06/2019: Medical policy updates
- 05/03/2019: Peer-to-peer hours are expanded for inpatient authorizations
- 01/22/2019: Reminder: Home health care policy changed Jan. 1, 2019
- 11/16/2018: Retroactive Medicare drug authorizations ending Jan. 1, 2019
- 10/08/2018: Medical Policy Updates
- 09/05/2018: Home health prior auth and InterQual criteria requirements
- 08/22/2018: Medical Policy Updates
- 07/31/2018: New authorization requirement for thyroidectomies
- 07/30/2018: July medical policy updates
- 08/20/2018: Reminder: Requesting Behavioral Health authorizations
- 06/25/2018 provider news: eviCore authorization changes
- 06/14/2018: Elective retro auths available in Clear Coverage™ Aug. 15
- 04/13/2018: April Medical policy updates
- 01/31/2018: Medical policy updates
- 01/03/2018: Medical policy updates
- 12/22/2017: eviCore educate & pay update
- 12/20/2017: Recent medical policy updates
- 10/12/2017: eviCore "educate and pay" clarification
- 09/05/2017: Clear Coverage™ discharge process change
- 08/22/2017: eviCore auth request process changes
- 07/21/2017: Suspended criteria for some eviCore auths
- (07/201/2017): Reminder: Fax most BH authorizations
- 07/07/2017: Prior authorization required for insulin pumps Aug. 1
- 06/29/2017: Updates to Auth Request tool
- 06/14/2017: Clear Coverage auth documentation not accepted by fax