CommercialPrior AuthMedium impact
TMS prior authorization requirement to be removed for contracted providers
Cigna·Psychiatry, Neurology·Prior Authorization
Effective date
Mar 6, 2026
We identified it
Jun 18, 2026
Summary
Effective March 6, 2026, Evernorth and Cigna Healthcare will eliminate prior authorization requirements for transcranial magnetic stimulation (TMS) when performed by contracted in-network providers. Non-contracted/out-of-network providers must continue to obtain prior authorization for TMS services.
Action Required
By March 6, 2026: Billing team must update prior authorization workflows to remove TMS prior auth requirements for Evernorth and Cigna Healthcare contracted providers only. Continue to verify network status and obtain prior auth for out-of-network TMS providers. Update staff training to distinguish between contracted and non-contracted provider requirements.