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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:
For questions, contact: susan.watkins@medicaid.alabama.gov
or elizabeth.huckabee@medicaid.alabama.gov.
The
Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2020 American
Medical Association and © 2020 American Dental Association (or such
other date publication of CPT and CDT). All rights reserved. Applicable
FARS/DFARS apply.