On Dec. 1, 2022, EmblemHealth will begin to manage post-acute care (PAC), replacing eviCore, for EmblemHealth members. This includes home health care, skilled nursing facility, acute rehabilitation, and long-term acute care hospital admissions.
As of Dec. 1, 2022, you will need to contact EmblemHealth to help arrange for PAC services and support. Note: eviCore will continue to handle durable medical equipment for EmblemHealth members.
Upcoming webinars: To help you better understand how the insourcing of all PAC services and the Transitions of Care program affects the members in your care, we will host a series of informational webinars. Session dates and times will be announced in the coming weeks and held via Microsoft Teams. Plan to join the session that’s best suited for your facility/provider type. No registration will be required.
Attention home health care providers: Our provider portal has a Home Health Status report to give you a consolidated view of the preauthorization requests for the members under your care. See the quick guide and video on our Portal Training page in the Preauthorization section for instructions on how to create the Home Health Status report.
Additional support: We offer a Transitions of Care program to help members with complex care issues better manage their health after a hospital admission. Our team will work with the member to make sure they are educated about their condition, have needed resources, and get the right care to feel better. Program information is available to our members on the Live Well section of our member website.
