Oakland Southfield Physicians

OSP News

Molina Announces New Prior Authorization Requirements Through eviCore

Posted: 08/01/2019

Molina Healthcare of Michigan (Molina) has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services. The new program is designed to streamline the authorization process through on-line and/or phone requests.

eviCore will manage prior authorization requests for the following specialized clinical services, effective for dates of service on or after October 1, 2019:

  • Imaging and Special Tests
    • Advanced Imaging (MRI, CT, PET, Select Ultrasounds)
    • Cardiac Imaging
  • Radiation Therapy
  • Sleep Covered Services and Related Equipment
  • Genetic Counseling and Testing

Click here to read the full announcement.

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