Clinical Programs & Services

Cigna Healthcare disaster support

January 30, 2025

When disaster strikes, we appreciate the tremendous sacrifices that health care providers offer your local communities and the effect that these disasters have on your […] Read more >

Evernorth Behavioral Health Centers of Excellence program

January 24, 2025

The Evernorth® Behavioral Health (Evernorth) Centers of Excellence (COE) program is designed to meet the growing customer demand for information about patient outcomes (quality) and […] Read more >

Advancing clinical excellence through value-based reimbursement in behavioral health

January 23, 2025

Basing payment on clinical outcomes rather than the volume of service is increasingly common among medical practitioners, yet value-based reimbursement is less common among behavioral […] Read more >

Coverage Confirmation Grid: Use it to verify coverage, benefits, and your network status

January 17, 2025

It’s always a good idea to verify a patient’s benefits and eligibility prior to rendering services. To save time and ease your administrative burden, Evernorth® […] Read more >

Important reminders for the new year

January 17, 2025

Check eligibility and benefits prior to rendering services As many benefit plans change at the beginning of the year, we recommend that you confirm a […] 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

January 30, 2025

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

January 30, 2025

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

January 30, 2025

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 >

Behavioral Complex Case Management Program: Key findings from 2023 evaluation

January 30, 2025

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 >

Improving HEDIS measures and patient outcomes for Antidepressant Medication Management

January 30, 2025

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 >

How are we doing?

Please let us know what you think of the Provider Newsroom information and news.

Contact Us