OncoHealth to Administer the Oncology Benefits Program - Operations Update
Update #: OPSONCH010125
Effective Date: 1/1/2025
Applicable Plan(s): Commercial, Medicare and Medicaid
Applicable Policy: N/A
Business Owner: Clinical Care Services
Current State: Administered by Carelon
Future State: OncoHealth will administer Sentara Health Plans (SHP) Oncology Benefits Management Program. The program includes support for prior authorization management of all SHP commercial, Medicaid and Medicare lines of business for members with a cancer diagnosis that requires chemotherapeutic drugs [oral and infusion], symptom management drugs, supportive agents, radiation therapy drugs and molecular genetic testing. Learn more about OncoHealth, www.oncohealth.us.