Updated Evernorth Behavioral Health Administrative Guidelines now available
AI Summary
Evernorth Behavioral Health has updated their Administrative Guidelines with significant changes including discontinuation of 'G' ID cards, removal of several strategic alliances (CareLink, HealthPartners, MVP Health Care, Priority Health), and transition of Medicare Advantage behavioral health benefits to Health Care Service Corporation under the HealthSpring brand.
Action Required
By April 1, 2026: Billing team must stop accepting 'G' ID cards as valid for Evernorth Behavioral Health patients. Update verification processes to reject these cards. For Medicare Advantage behavioral health claims, redirect to Health Care Service Corporation (HealthSpring) for claims processing, customer service, and utilization management instead of Evernorth. Update billing software and staff training materials to reflect removal of CareLink, HealthPartners, MVP Health Care, and Priority Health as Cigna strategic alliances.
Plan Types
Medicare Advantage, Commercial
Specialties
psychiatry