Radiation Therapy Authorization Program
Last Updated: Tuesday, May 14, 2024
- wpa/ nepa
- cpa/ sepa
- de
- wv
The Radiation Therapy Authorization Program is only applicable to Delaware, Pennsylvania, and West Virginia.
- wny
- neny
The Radiation Therapy Authorization Program is not applicable to New York.
In an effort to help ensure that the radiation oncology therapy services provided to our members are consistent with nationally recognized clinical guidelines, Highmark has contracted with eviCore healthcare to provide medical necessity review and authorization where applicable for select radiation oncology therapy services.
Reference Materials
The following guide includes a summary of all components of the Radiation Therapy Authorization Program and includes the list of procedure codes that require authorization.
Related Links
eviCore Highmark Provider Resources (Not applicable to New York)
