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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 will require prior authorization by eviCore healthcare for the following covered services for dates of service:

August 1, 2018, and thereafter: Advanced Imaging (PET/MRI/CT) and Nuclear Medicine

For dates of service September 1, 2018, and thereafter: Cardiology Imaging and Select Cardiac Procedures

For dates of service October 1, 2018, and thereafter: Joint, Spine, and Pain Management Procedures

For more information about the eviCore Prior Authorization program, click here.

Attend the online orientation! The orientation schedule and program training resources are available here. eviCore Healthcare’s Clinical Guidelines and request forms are available on the Resources page at eviCore.com.

IMPORTANT ANNOUNCEMENT: New Tiered Product Offering with Cigna

In 2018, Scott and White Health Plan (SWHP), part of Baylor Scott & White Health, will expand our commercial products to include a tiered network offering. This tiered network will include SWHP contracted providers in Tier 1 and Cigna contracted providers in Tier 2. The addition of a tiered offering to our commercial portfolio will allow SWHP to offer more product options to employers in your area.

If you are contracted with SWHP and Cigna, please let this letter serve as notice per Texas Insurance Code §1301.056 and Texas Insurance Code §1458.101 that your SWHP contract(s) will apply for this tiered product.

Thank you for your continued participation in the SWHP network. We recognize that our providers have been instrumental in our success over the years. We are excited to partner with you in this new tiered product offering.

Please review the FAQ to assist with any questions regarding the tiered product: Cigna Tiered-Network Provider FAQ

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.

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New Prior Authorization Requirements — Evicore

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