MSK Specialized Therapies Migration from the Landmark Portal to the eviCore Portal - Provider Orientation Session for Hawaii Medical Service Association (HMSA)

Sep 16, 2026

Uploaded by Mia

Provider orientation presentation detailing the migration of MSK specialized therapies authorization for chiropractic services from the Landmark portal to the eviCore portal under HMSA. It explains the effective date (January 1, 2021), required submission methods (web portal, telephone, and fax with the new request form), and the impact of submitting without prior authorization. The deck compares prior vs future workflows, highlights program differences in clinical collection and patient reported outcomes, and introduces corePath for Specialized Therapy, outlining how approvals, worksheet use, and authorization decision processes work for ongoing care.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages72

Reading Time25 min

AccessFree to download

From Landmark to eviCore

Enhanced authorization process effective January 1, 2021

Landmark Portal vs. eviCore Portal

Program Differences

Clinical Collection and Patient Reported Outcomes

Submission Method, Worksheets, and Date Extensions

Clinical Approach

corePath for Specialized Therapy

corePath for Specialized Therapy: How It Works

Prior Authorization Overview

HMSA Prior Authorization Services

Prior Authorization applies to and does not apply to services

MSK Specialized Therapies Migration from the Landmark portal to the eviCore portal for Chiropractic services Provider Orientation Session for Hawaii Medical Service Association (HMSA) ©2019 eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information. From Landmark to eviCore eviCore healthcare is pleased to announce an enhancement to the authorization process for members with coverage under Hawaii Medical Service Association (HMSA) . Effective January 1, 2021 , HMSA members with plans that require prior authorization will require prior authorization directly from eviCore healthcare, as outlined below. Any services performed without authorization maybe denied for payment, and you may not seek reimbursement from members. Under the enhanced authorization process, you will be directed to submit requests electronically via the eviCore web portal [at](at www.evicore.com)[ ](at www.evicore.com)[www.evicore.com](at www.evicore.com), telephonically by contracting the eviCore prior authorization unit, or via fax utilizing the new eviCore healthcare request form. As a result of this enhancement, effective January 1, 2021 , you will no longer be able to submit authorization requests via Landmark Connect. | | Prior to 1/1/21 | Effective 1/1/21 | | --- | --- | --- | | Web | Log into [Landmark Connect via](Landmark Connect via www.lmhealthcare.com)[ ](Landmark Connect via www.lmhealthcare.com)[www.lmhealthcare.com](Landmark Connect via www.lmhealthcare.com) | Log onto eviCore web [portal via](portal via www.evicore.com)[ ](portal via www.evicore.com)[www.evicore.com](portal via www.evicore.com) | | Telephone | Telephonic authorizations not available | Call 888-638-7876 | | Fax | Treatment Plan form to 800-599-8350 | eviCore healthcare request form to 855-774-1319 | Landmark Portal vs. eviCore Portal “How does this change impact my process?”.... Program Differences | | Current Experience (Landmark) | Future Experience (eviCore) | | --- | --- | --- | | Opportunity for real time decision | No | Yes | | Clinical Collection | Lengthy process that requires providers to submit clinical information including range of motion, strength, pain level, Patient Specific Functional Scale. | Abbreviated process leveraging the condition, complexities, patient reported outcomes, and response to care. | | Patient Reported Outcomes | Limited to Patient Specific Functional Scale | Provider may choose from a variety of condition specific tools.
Note: PSFS will no longer be accepted for MSK conditions.
Please see eviCore worksheets to determine which tools are accepted for each condition. | | Submission Method | Web (eform) and fax | Web, phone, fax | | Clinical Criteria | | Unchanged | | Worksheets | | Yes but different than the worksheets currently used by providers.
Note: Landmark treatment plans are not aligned with the clinical collection process and will no longer be accepted. | | Date extensions | Requested by fax | Requested by Web or phone | | Peer to Peer/Clinical Consultation | Provider/office must call to request/schedule | May be requested either by using online tool or calling. Pre-decision discussions available for Medicare cases where an adverse determination is recommended. * | | Authorization Look Up Tools | Yes for individual cases | Yes for individual case. All authorizations requested by a specific group/provider can also be viewed in a dashboard format. | Clinical Approach ©eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY information. 5 corePath for Specialized Therapy Evidence-based, condition-specific approach Focused on the patient: Authorization strategy emphasizes the unique attributes of a patient’s condition and any associated complexities Streamlined for providers: Providers will experience a simplified and consistent prior authorization process that requires only key clinical information C

FAQs

When do HMSA members require prior authorization directly from eviCore for chiropractic MSK specialized therapies?

Effective January 1, 2021, HMSA members with plans requiring prior authorization must obtain prior authorization directly from eviCore healthcare.

What submission methods are available for prior authorization requests after the migration?

Requests can be submitted electronically via the eviCore web portal, telephonically by calling the eviCore prior authorization unit, or via fax using the new eviCore healthcare request form.

How does the clinical collection approach differ between Landmark and eviCore?

eviCore uses an abbreviated process leveraging condition, complexities, patient reported outcomes, and response to care, with providers selecting from condition-specific tools; PSFS is no longer accepted for MSK conditions.

Sep 16, 2026

Uploaded by Mia