CommercialPrior AuthMedium impact
Evernorth Inpatient Mental Health and Inpatient Detox – Prior Authorization Form Update
Cigna·Psychiatry·Prior Authorization
Effective date
Feb 19, 2026
We identified it
Jun 18, 2026
Summary
Evernorth has updated their inpatient prior authorization form for behavioral health and substance use services including mental health, detox, rehabilitation, dual diagnosis, and eating disorders. Key changes include adding MD address field, prompting clinical types based on responses, removing signature requirement, and updating guidance for other levels of care.
Action Required
Immediately: Begin using the updated Evernorth Inpatient Prior Authorization Form available at Provider.Evernorth.com under Form Center > Inpatient Prior Authorization Form for all inpatient behavioral health and substance use services. Staff should note that old forms are still accepted so no resubmission is required for pending requests. Contact Allison.Meier@evernorth.com with questions about the new form.