CommercialPrior AuthMedium impact
MedStar Prior Authorizations Now Routed through CareFirst
CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Effective January 1, 2021, prior authorizations for MedStar employer group MHT must be submitted through CareFirst BlueCross BlueShield and CareFirst BlueChoice authorization systems instead of Evolent Health. This affects all medical management activities for this specific employer group.
Action Required
By January 1, 2021: Billing team must update prior authorization workflow for MedStar employer group MHT patients to submit requests through CareFirst BlueCross BlueShield and CareFirst BlueChoice authorization systems. Stop contacting Evolent Health for medical management activities for this group. Update staff training and authorization tracking procedures to reflect new routing.