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New information for Security Health Plan providers

News and  announcements that will help you work more efficiently with  Security Health Plan coverage. We've also included  current and past issues of our Provider News newsletters for easy reference.

Risk Adjustment

Risk Adjustment and Hierarchical Condition Category (HCC) coding is a payment model mandated by the Centers for Medicare and Medicaid Services (CMS) in 1997

Security Health Plan transitions acute rehabilitation and long term care prior authorization (PA) services

Effective March 1, 2019, PA services for Security Health Plan members  is required for   acute rehabilitation  and long-term care  admissions.

Security Health Plan partners with eviCore healthcare for prior authorization (PA) services

Effective May 1, 2019, eviCore healthcare is providing PA services for patients enrolled with Security Health Plan. Prior authorization will be required for joint surgery, spine (hip, knee and shoulder) surgery, interventional pain management, occupational therapy, physical therapy and speech therapy. Learn more.

eviCore to handle authorization for musculoskeletal (joint/spine surgery/pain interventions) and therapy services (physical therapy, occupational therapy and speech therapy)

eviCore healthcare has been contracted by Security Health Plan to provide prior authorization review of certain musculoskeletal and therapy services for dates of service (DOS)   May 1, 2019 and forward. Click below for details and information on provider orientation sessions.

eviCore  Musculoskeletal & Therapy announcement letter
eviCore  Musculoskeletal provider orientation invitation
eviCore Therapy  provider orientation invitation

View current and past issues

View Provider News

Contact Information

Security Health Plan Provider Relations and
Contracting Department
715-221-9640 or