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Medicare AdvantagePrior AuthHigh impact

Evolent Prior Authorization Updates: Effective January 1, 2027

Ambetter·WA · Cardiology, Vascular Surgery·Prior Authorization
Effective date
Jan 1, 2027
We identified it
Aug 26, 2026
Days to comply
108 days

Summary

Evolent is adding 24 cardiology procedure codes related to endovascular revascularization (angioplasty, stent placement, and atherectomy) to prior authorization requirements, effective January 1, 2027. These codes cover iliac, femoral/popliteal, and tibial/peroneal vascular territories. All prior authorization requests for these procedures must now be submitted to Evolent Specialty Services through the affected health plans.

Action Required

Before Jan 1, 2027
By December 15, 2026: Billing team must update billing system and prior authorization workflows to require Evolent Specialty Services prior authorization for all 18 cardiology CPT codes (37254, 37256, 37258, 37260, 37263, 37265, 37267, 37269, 37271, 37273, 37275, 37277, 37280, 37282, 37284, 37286, 37288, 37290) when billed to Coordinated Care Medicaid, Ambetter from Coordinated Care Marketplace, or Wellcare Medicare plans. Update encounter templates and provider documentation requirements to flag these codes for mandatory prior authorization. Establish submission process with Evolent Specialty Services contact information. Train all billing and clinical staff on new requirements. Failure to obtain prior authorization will result in claim denials. Contact local Provider Engagement representative for questions about specific codes or implementation.

Affected Billing Codes

37254
37256
37258
37260
37263
37265
37267
37269
37271
37273
37275
37277
37280
37282
37284
37286
37288
37290