Reminder: Change in Prior Authorization Administration for Durable Medical Equipment Services, Effective March 1, 2026
April 9, 2026
Effective March 1, 2026, HealthSpring began managing prior authorizations for durable medical equipment services, as well as orthotic and prosthetic codes.
Key changes effective March 1, 2026
Submit prior authorization requests directly to HealthSpring for dates of services beginning March 1.
Any authorization issued prior to March 1 will remain valid for those dates and services. That means any authorizations approved by EviCore healthcare before March 1 will remain effective with HealthSpring. You do not need to submit a new prior authorization request.
Refer to clinical review for a list of procedural codes requiring prior authorization.
How to request prior authorization
Request prior authorization through our provider portal, Availity® Essentials. This portal is the preferred and fastest method. Refer to Availity for instructions on setting up an account and navigating the portal. If you prefer, you can also call 1-800-914-8252 or fax 1-877-451-5541.
Additional information
Refer to this flyer for information on this change.