Beginning Sept. 1, 2026, elective diagnostic and interventional cardiovascular services rendered in a physician’s office, ambulatory setting, outpatient hospital, or *inpatient hospital setting (*professional services only) will require authorization from Evolent. This authorization requirement applies to all ConnectiCare Marketplace members 18 years of age and older. Treatment plans will be reviewed using nationally recognized evidence-based guidelines.
Prior authorization requests for services scheduled on or after Sept. 1, 2026 must be sent to Evolent online or by phone:
- Sign in to the Evolent provider portal.
- Call 888-999-7713 from 8 a.m. to 8 p.m., Monday through Friday.
For questions or training needs related to this program, providers can contact Evolent at practicesuccess@evolent.com.
