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Provider News - November 2017

Security Health Plan·Cardiology, Orthopedics, Cardiothoracic Surgery·Provider News
Effective date
Nov 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Security Health Plan's November 2017 provider newsletter announces several key changes: new prior authorization requirements for 2018 including cardiac valve replacement and hip impingement surgery, partnership with Magellan Rx for medical pharmacy prior authorizations effective Nov 1, 2017, and transition to MedImpact as pharmacy benefit manager effective Jan 1, 2018.

Action Required

Action needed
By Nov 1, 2017: Update prior authorization workflows for medical pharmacy medications through new Magellan Rx system accessible at www.securityhealth.org/rxpa. By Jan 1, 2018: Prepare for new prior authorization requirements including cardiac valve replacement, femoro-acetabular surgery for hip impingement syndrome, MAZE procedures, and skin substitutes. Contact Provider Assistance Line at 1-800-548-1224 for specific requirements. Update pharmacy benefit processes for MedImpact transition.