Authorization for Chemotherapy or Radiation Cancer Treatment/Evolent Specialty Services
Evolent Specialty Services Authorization Link
Evolent Website Link – We are pleased to announce our collaboration with Evolent Specialty Services as the administrator of the Peach State Health Plan Oncology Quality Management program.
Beginning on February 1, 2021, all oncology-related medical and radiation treatments and supportive care will now be submitted to Evolent Specialty Services for prior authorization review. All treatment plans will be reviewed using nationally recognized evidence-based guidelines and peer discussions attempted prior to recommending an adverse decision to the health plan.
We hope you will find value in the Evolent Specialty Services partnership:
- Ability to confirm member eligibility through the Evolent Specialty Services portal prior to entering a treatment plan
- Telephonic Intake available for submitting treatment plans, if needed
- More oncology physicians on staff to answer your questions
- Real-time authorizations issued for approvable treatment plans
- Dedicated Evolent Specialty Services Provider Network Manager to use as a direct point-of-contact for any issues or questions
FREQUENT QUESTIONS
Q: Who should obtain prior authorization?
A: The physician organization ordering chemotherapeutic drugs, supporting agents or radiation oncology for the treatment of cancer or related hematologic diseases must request prior authorization through Evolent Specialty Services.
Q: How do I obtain prior authorization?
A: Submit chemotherapy and radiation oncology requests to Evolent Specialty Services via the following methods:
- Log into Evolent Specialty Services’s provider web portal at Evolent Website Link.
- Contact Evolent Specialty Services’s Utilization Management Intake Department at
1-888-999-7713, Option 1, Monday through Friday (8 a.m.-8 p.m. EST)
Q: How can a physician’s office request training for this program?
A: A Evolent Specialty Services Provider Network Manager can schedule an introductory meeting and training. To request training, you may contact Evolent Specialty Services at 1-888-999-7713, Option 6 or Self-register online at Evolent Website Link.