Peoples Health works with the Optum® Cancer Guidance Program to manage and process prior authorization requests for outpatient injectable chemotherapy and related cancer therapies (including cancer-supportive drugs and therapeutic radiopharmaceuticals) for Peoples Health patients. The Optum Cancer Guidance Program is an evidence-based cancer treatment, utilization management and analytics service.
Requests for these services must be submitted to the Optum Cancer Guidance Program through its MBMNow platform for approval, and not to Peoples Health. Through MBMNow, the program offers select drug treatment regimens that are auto-approved, as well as quick turn-around times for custom requests. This online tool is available through the Peoples Health Provider Portal; choose the Authorizations tab and then click the Cancer Treatment icon.
Note that you will continue to submit authorization requests for oral chemotherapy drugs to our pharmacy benefits manager, OptumRx.