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TO: Physicians,
Radiologists, and Hospitals
As a
reminder, all cardiology and radiology service providers (including
out-of-state providers) must be enrolled with Alabama Medicaid before
requesting prior authorization (PA). PA
submissions from non-enrolled providers will not be processed.
To enroll with the Agency,
providers may go to the following link to complete the online application:
http://medicaid.alabama.gov/content/10.0_Contact/10.3_Provider_Contacts/10.3.4_Provider_
Enrollment.aspx or call provider enrollment at
1-888-223-3630.
Requesting Prior Authorization
Enrolled providers may request a PA for all MRIs, MRAs, CT scans, CTAs, and PET
scans from eviCore, the Agency’s contractor, by:
• Phone at (888)
693-3211
• Fax at (888)
693-3210
• Website at www.medsolutionsonline.com or www.evicore.com
Enrolled providers may
request Nuclear Cardiology, Diagnostic Heart Catheterization, Stress Test
(ECHO), Transesophageal Echo, and Transthoracic Echo from eviCore by:
• Phone at (855)
774-1318
• Website at www.carecorenational.com or www.evicore.com
Please direct questions to
Susan Watkins at Susan.Watkins@medicaid.alabama.gov
or Solomon Williams at Solomon.Williams@medicaid.alabama.gov
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2018 American Medical
Association and © 2018 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.