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Welcome!

This page was created to be your quick, go-to resource for updates and information related to the prior authorization process changes for Radiation Oncology and Surgical Oncology that take effect July 1, 2024.

Prior authorization process change effective July 1, 2024

Effective July 1, 2024, Humana will partner with Evolent (formerly New Century Health) to implement a new prior authorization program.

What does this mean for you?

Evolent will begin managing your radiation oncology and surgical oncology prior authorizations for your Humana Medicare Advantage HMO and PPO members ages 18 and older.   

In preparation for this change, we are hosting group training sessions via webinar to review these new program features, more information below. 


On-Demand Training Sessions Now Available

For your convenience, we have created an on-demand version of the training for you to reference as needed.

 

"Surgical Oncology Group Training Session for Prior Authorization Teams"

Surgical Oncology On-Demand

"Radiation Oncology Group Training Session for Prior Authorization Teams"

Radiation Oncology On-Demand 

Resources

Provider Notification Letter

Please reference this document which outlines the details and scope of this program. 

Download PDF
Radiation Oncology FAQs

Frequently asked questions regarding the radiation oncology portion of this program. 

Download PDF
Surgical Oncology FAQs

Frequently asked questions regarding the surgical oncology portion of this program. 

Download PDF

How to Get in Touch:

 

Market Managers

Email

Phone Number

Market

Betsy Roberts

betsy.roberts@evolent.com

1.571.261.8621

GA, IA, MI, MN, NE, WI

Brenda Bedford

bbedford@evolent.com

1.225.361.3359

AL, AR, IN, KS, LA, MO, MS, NM, OK

Charlotte Taylor

ctaylor@evolent.com

1.571.549.8731

WA

Claudia Prinstein-Hasbun

chasbun@evolent.com

1.571.832.0659

NC, SC, TN

Heather Montoya

hmontoya@evolent.com

1.571.832.0397

AZ

Janet Nunez

jnunez@evolent.com

1.571.832.5469

DE, NJ, NY, PA

Latonia Bradshaw

lbradshaw@evolent.com

1.571.210.7832

IL

Melanie Bodencak

mbodencak@evolent.com

1.571.370.3820

CT, DC, MA, MD, ME, NH, OH, RI, VA, VT, WV

Nicole Bright

nbright@evolent.com

1.571.370.9803

KY, NV

Yesenia Garcia

ygarcia@evolent.com

1.571.370.5318

AK, CA, CO, HI, ID, MT, ND, OR, SD, TX, UT, WY

Gloria Fernandez

gfernandez@evolent.com

1.786.634.5424

South FL

Maria Zamora

mzamora@evolent.com

1.305.321.2436

Yadira Chavez

ychavez@evolent.com

1.786.634.5886

Dorian Franklin

dfranklin@evolent.com

1.571.832.2680

Central and North FL

Hector Rosado

hrosado@evolent.com

1.352.209.9777