Evolent Prior Authorization Updates: Effective October 1, 2026
Summary
Starting October 1, 2026, prior authorization will be required through Evolent Specialty Services for 23 codes under Absolute Total Care Medicaid, Ambetter from Absolute Total Care Marketplace, and Wellcare Medicare. The codes cover endovascular revascularization in the iliac, femoral and popliteal, tibial and peroneal, and inframalleolar vascular territories, with angioplasty, stent placement or atherectomy for straightforward and complex lesions, plus one intracoronary stent placement code, 92930. The update is described as part of ongoing efforts to create a more consistent set of prior authorization requirements across health plans.
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