March 20, 2018

State of Alabama
Press Release: Medicaid

RE: Cardiology and Radiology Prior Authorization Program Update

PDF Version


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.






  • For more information, visit http://medicaid.alabama.gov
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