Alerts

Changes coming to Radiology and Cardiology Prior Authorizations from eviCore

4/13/2021

PDF Version

TO:  Physicians, FQHCs, RHCs, Radiology Providers, and Hospital Providers

 

RE:   Changes coming to Radiology and Cardiology Prior Authorizations from eviCore

  

Effective April 19, 2021, eviCore, Alabama Medicaid’s contractor for radiology and cardiology prior authorizations will use the intelliPath® system, a streamlined method for processing these prior authorizations (PAs). These do not include Pharmacy prior authorizations. Providers will see little change to the current method of requesting a PA.

 

Improvements that you will see include:

 

  • Faster approvals
  • Less time spent answering clinical questions
  • Less time in communications with eviCore
  • Fewer requests for additional information

 Providers should continue sending PA requests for outpatient diagnostic imaging procedures to eviCore to the following:

 

  • Phone at (855) 774-1318
  • Fax at (888) 693-3210
  • Website at www.evicore.com 

For questions, contact: susan.watkins@medicaid.alabama.gov or elizabeth.huckabee@medicaid.alabama.gov.