Oakland Southfield Physicians

OSP News

Molina Announces: New Prior Authorization Requirements Through eviCore

Posted: 08/29/2019

Molina Healthcare of Michigan (Molina) has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services.

Effective September 23, 2019 eviCore will begin accepting prior authorization requests for dates of service on or after October 1, 2019.

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

Molina and eviCore will be providing online web orientation sessions designed to assist your office staff with how to submit prior authorizations to eviCore, identify impacted services and codes, and navigate the eviCore website and provider portal. Molina encourages your office staff to attend these informative sessions to ensure your understanding of the new prior authorization process.

Click here to learn more about the web trainings and to read the entire announcement.

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