ATTENTION: Updated Prior Authorization List Effective 01/01/19
SWHP will be updating Prior Authorization Lists for our Commercial, Medicare Advantage, and Baylor Scott & White Health Employee plans.
Learn more here.
ANNOUNCEMENT: Online Redetermination Requests
Providers can now submit redetermination requests online through the SWHP Provider Portal. Learn more here.
ATTENTION: SeniorCare Cost Transition
SeniorCare Cost is transitioning to Medicare Advantage plans in Central Texas for 2019. Please click here for details and FAQ’s.
IMPORTANT ANNOUNCEMENT: eviCore healthcare to Provide Benefits Management Services
Scott and White Health Plan (SWHP) is pleased to announce its partnership with eviCore Healthcare to provide benefits management services for selected covered services requiring prior approval. This involves individuals
enrolled in SWHP’s Commercial and Medicare Advantage programs.
SWHP members enrolled in the above-mentioned plans require prior authorization by eviCore healthcare for the following covered services for dates of service:
• Advanced Imaging (PET/MRI/CT) and Nuclear Medicine
• Cardiology Imaging and Select Cardiac Procedures
• Joint, Spine, and Pain Management Procedures
For more information about the eviCore Prior Authorization program, click here.
Online orientation and program training resources are available here. eviCore Healthcare’s Clinical Guidelines and request forms are
available on the Resources page at eviCore.com.
ANNOUNCEMENT: Scott and White Health Plan Provider Relations Representative Contact Information
To find the Provider Relations Representative for your county, please see the Provider Relations
Representative Territory Map.