Oakland Southfield Physicians

OSP News

Molina Announces New Prior Authorization Requirements Through eviCore

Posted: 11/19/2019

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 December 16, 2019 eviCore will begin accepting prior authorization requests for dates of service on or after January 1, 2020.

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, non-OB Ultrasounds)
    • Cardiac Imaging
  • Radiation Therapy
  • Sleep Covered Services and Related Equipment
  • Molecular and Genomic Testing

Click here to read the full announcement sent out by Molina.

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