Policy Updates

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 >

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 >

Updates to the Code Editing Policy and Guidelines

July 16, 2024

We routinely review Evernorth Behavioral Health and Cigna Healthcare coverage, reimbursement, and administrative policies for potential updates while taking into consideration evidence-based medicine, professional society […] Read more >

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