CommercialAdministrativeMedium impact
Evernorth Behavioral Health – Updated administrative guidelines now available
Cigna·CO, CT, IL, ME, MD, MA, NV, NJ, NY, NC, RI, TN, VT, VA, WA, DC · Psychiatry·Coverage
Effective date
Nov 26, 2024
We identified it
Jun 19, 2026
Summary
Evernorth has released updated Behavioral Health Administrative Guidelines effective November 26, 2024, with comprehensive changes to provider requirements, benefit plans, claims processes, and state-specific addenda. The guidelines include updates to tiered benefit solutions, electronic prior authorization for prescription drugs, provider portal functionality, and nondiscrimination expectations.
Action Required
Immediately: Behavioral health providers must review the updated Evernorth Administrative Guidelines on the provider portal. Update demographic information submission processes per new requirements. Review tiered benefit solutions and profiles for benefit plan changes. Ensure compliance with expanded nondiscrimination expectations. Update prescription drug prior authorization processes to include new electronic prior authorization requirements.