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Medicaid Medical Oncology Prescription Drug Prior Authorization Changes

Effective April 29, 2021, Health Partners Plans (HPP) will implement a change in our prior authorization process for outpatient chemotherapy and supportive drugs in our Medicaid plan.

While you should continue to contact eviCore, our delegated vendor for medical management of medical oncology services, the maximum turnaround time for outpatient chemotherapy and supportive drugs prior authorization decisions will change from the current two business days to 24 hours.

We hope that you will find this accelerated time frame to be advantageous in treating your HPP Medicaid patients.

Please continue to contact eviCore at 1-888-444-6178 to initiate a prior authorization request for chemotherapy and supportive drugs for our Medicaid members.

If you have any questions about this change, please call us at 1-888-991-9023 (Monday - Friday, 9 a.m. to 5:30 p.m.) or contact your Network Account Manager.

Thank you for your participation with HPP and your dedication to our members.

Resources
March 29: Full communication to providers