Effective 7/1/25, Evolent Specialty Services, Inc., will now manage the Utilization Review of cardiology services and procedures, taking the place of TurningPoint Healthcare Solutions, LLC. After 7/1/25, prior authorizations for applicable non-emergent, cardiology services must now be requested through Evolent. This change applies to Superior HealthPlan Medicaid (STAR, STAR Health, STAR+PLUS), STAR+PLUS Medicare-Medicaid Plan (MMP) and Wellcare By Allwell Medicare members aged 21 and older, and Ambetter from Superior HealthPlan members aged 18 and older.
Superior Healthplan News: Transition of Utilization Review from TurningPoint to Evolent Effective for Cardiology Procedures beginning July 1, 2025
Source: Superior HealthPlan, Cardiology Procedures: Transition of Utilization Review from TurningPoint to Evolent Effective for Service Dates beginning July 1, 2025