Oakland Southfield Physicians

OSP News

Molina Announces Postponed Implementation Date for New Prior Authorization Requirements Through eviCore

Posted: 09/12/2019

MHM has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services. eviCore will manage prior authorization requests for the following specialized clinical services, effective for dates of service on or after January 1, 2020.

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

Molina and eviCore will continue to provide online web orientation sessions designed as outlined below and will be scheduling additional web orientation sessions as we move closer to the new January 1, 2020 effective date.

Click here to read the full announcement by Molina.


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