Moda Health Implementation Resources

EviCore by Evernorth is pleased to announce its expanded partnership with Moda Health to provide services for members enrolled in Moda Health programs.
Effective May 1, 2026, Moda Health Fully Insured and in-scope Self Insured members in Oregon, SW Washington, Idaho and Alaska will require prior authorization for Lab Genetic Testing services through EviCore for dates of service beginning on or after May 1, 2026.
Effective June 1, 2026, Moda Health members in Texas require prior authorization for Lab Genetic Testing services through EviCore for dates of service beginning on or after June 1, 2026.
Cardiovascular
Musculoskeletal
Radiology
Laboratory Management
Need Help?
Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.