Authorizations news
Reminder EviCore radiation oncology authorizations and resources
As a reminder, our new radiation oncology authorizations program with EviCore launched on Sept. 15, 2024. To support you in getting your patients, our members, the care they need when they need it, EviCore offers a variety of provider resources and trainings.
June 25, 2025
New DME auth requirement for Q0508
Effective July 15, 2025, we’ll require prior authorization for HCPCS code Q0508 – used for miscellaneous supplies or accessories used with an implanted ventricular assist device (VAD) –when exceeding our standard DME thresholds.
June 25, 2025
TurningPoint portal downtime on May 24
TurningPoint's provider portal will be temporarily offline for scheduled maintenance between 7-9 p.m. ET on May 24.
June 25, 2025
Updated TurningPoint provider training guide available
We’ve updated the TurningPoint Provider Training Guide to include: additional information requests (all plans); Intent to deny calls (Medicare); reconsideration requests (commercial, Medicaid).
June 25, 2025
New authorization requirement for renal denervation
Effective Apr. 6, 2025, we’ll require prior authorization for the following procedures for Medicare cases: 0338T and 0339T.
June 23, 2025
New prior authorization requirement for cardiac procedures
Effective Apr. 21, 2025, we’ll require prior authorization for the following cardiac procedures, for all lines of business: 92924 and C1605.
June 23, 2025
Reminder of varicose vein authorizations implementation
As we shared in October, we'll require prior authorization following InterQual® criteria for certain varicose vein procedures effective Jan. 1, 2025, for commercial and Medicaid plans and in 2026 for Medicare plans.
June 16, 2025