Behavioral Health
Provider News

Get the latest Evernorth Behavioral Health updates on a variety of topics, including policies, programs, clinical insights, electronic tools, and more.

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Behavioral health medical necessity criteria updates

October 2, 2024

Evernorth Behavioral Health uses the MCG™ Behavioral Health Guidelines for guidance in conducting mental health level of care medical necessity reviews for all health plan […] Read more >

California language assistance services requirements

October 2, 2024

California law requires health plans to provide language assistance program (LAP) services to eligible customers with limited English proficiency (LEP). To support this requirement, we […] Read more >

Partnering for inclusivity: Supporting providers in meeting language assistance services requirements

October 2, 2024

In today’s diverse health care landscape, it’s vital to ensure all individuals have equitable access to medical and behavioral services, regardless of their language proficiency. […] Read more >

Individual & Family Plans market changes effective January 1, 2025

November 1, 2024

Beginning January 1, 2025, Cigna Healthcare℠ will no longer offer Individual & Family Plans (IFPs) in the following markets: As a result, customers in the […] Read more >

New Mexico language assistance services requirements

October 2, 2024

New Mexico law requires health plans to provide language assistance program (LAP) services to eligible customers who have limited English proficiency (LEP) and/or differing hearing […] Read more >

Update to prior authorization requirements for partial hospitalization level of care effective January 1, 2025

December 10, 2024

Evernorth® Behavioral Health (Evernorth) is committed to helping health care providers deliver timely care to patients by reducing the administrative burden. Therefore, effective January 1, […] Read more >

Follow-Up Care for Children Prescribed ADHD Medication HEDIS measure (ADD)

December 4, 2024

Attention deficit hyperactivity disorder (ADHD) is one of the most common behavioral health disorders affecting children. The main features include hyperactivity, impulsiveness, and an inability […] Read more >

Continuity and coordination of behavioral and medical care

December 4, 2024

As part of our continuity and coordination of care efforts, Evernorth® Behavioral Health monitors the exchange of information between behavioral and medical providers. Annually, we […] Read more >

Behavioral health clinical practice guidelines

November 12, 2024

Evernorth® Behavioral Health (Evernorth) periodically adopts and approves evidence-based behavioral clinical practice guidelines published by recognized professional practice societies. We schedule formal reapproval of the practice guidelines […] Read more >

Evernorth Behavioral Health – Updated administrative guidelines now available

November 1, 2024

The Evernorth® Behavioral Administrative Guidelines for participating providers, clinics, and facilities contain our administrative guidelines and program requirements, policies, rules, and procedures pertaining to providing […] Read more >

Evernorth Behavioral Health adopts The ASAM Criteria, 4th Edition for customers aged 18 and older

October 28, 2024

Beginning November 2, 2024, Evernorth® Behavioral Health (Evernorth), will adopt the use of The ASAM Criteria, 4th Edition to conduct substance use level of care […] Read more >

2023 access to behavioral care results

October 21, 2024

Evernorth® Behavioral Health (Evernorth) is committed to helping customers access behavioral care when they need it. To support these efforts, we have established standards regarding […] Read more >

Behavioral Complex Case Management Program: Key findings from 2023 evaluation

October 18, 2024

Each year, Evernorth® Behavioral Health is required to evaluate its Behavioral Complex Case Management Program for accreditation purposes. Following are key findings from the 2023 […] Read more >

2023 Behavioral Quality and Utilization Management program key findings

October 16, 2024

Quality care is critical to protecting and improving the health and well-being of our customers. With the help of our behavioral health quality committee, Evernorth® […] Read more >

Using the Provider Newsroom

October 11, 2024

The Provider Newsroom is easy to navigate. Valuable information relevant to your practice is readily available and easy to access through our Provider Newsroom, designed […] Read more >

Brand evolution brings fresh look to provider websites

October 10, 2024

As part of our brand evolution under The Cigna Group, which includes the Cigna Healthcare℠ and Evernorth® Health Services brands, you’ll notice that the Cigna for Healthcare […] Read more >

Important administrative reminders

September 24, 2024

We would like to share the following important administrative reminders with behavioral health providers caring for Evernorth® Behavioral Health and/or Cigna Healthcare customers.  + Administrative guidelines  […] Read more >

Improving HEDIS measures and patient outcomes for Antidepressant Medication Management

September 23, 2024

The Healthcare Effectiveness Data and Information Set (HEDIS®)1 is a widely used performance improvement tool. More specifically, it’s a core set of measures that provide […] Read more >

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