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All PlansAdministrativeMedium impact

Continuity and coordination of behavioral and medical care

Cigna·Psychiatry, Family Medicine, Internal Medicine +1 more·Network
Effective date
Dec 4, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Evernorth Behavioral Health has updated guidelines emphasizing coordination between behavioral and medical providers, with survey results showing only 50% of providers consistently notify other medical providers when clinically indicated. The policy reinforces that providers may need to seek patient consent for care coordination multiple times during treatment.

Action Required

Action needed
Immediately: Review care coordination processes to ensure behavioral health providers are notifying medical providers when clinically indicated. Update patient consent procedures to allow for multiple requests for care coordination consent during treatment. Train staff on importance of coordinating care between behavioral and medical providers, particularly for patients with comorbid conditions.