Providers

As part of our Provider Network, you play an integral role in caring for UCHP members. Below are links to provider materials. For questions, contact Aetna’s Provider Service Line at 888-632-3862 or online through the Availity portal.

UCHP Documents

UCHP Precertification List effective 1/1/22
UCHP Provider Manual effective 1/1/22
UCHP Provider Quick Reference Guide effective 1/1/23
UCHP Gap Services List revised 6/15/20
UCHP Ancillary Tier One List effective 7/1/22

UCHP Ingalls EPO Plan Administration Documents

IPG Presentation (April 2023)
Ingalls EPO UCHP Administration Contact List 

UCHP/CVS Documents

University of Chicago ONLY

CVS Advanced Control Formulary effective 1/1/23
CVS Advanced Control Specialty Formulary effective 1/1/23
CVS Specialty Guideline Management Drug List effective 1/1/23

UCMC AND INGALLS ONLY

Express Scripts Standard Control Formulary effective 1/1/23 (Specialty Included in Standard Formulary List)
Express Scripts Preferred Formulary Exclusions effective 1/1/23
Express Scripts Maintenance and Specialty Guideline Drug effective 1/1/23

For University of Chicago ONLY

UCHP/CVS Prior Authorization and Override Process

For more information on UCHP’s prescription drug coverage, call CVS Client Connect at 800-552-8159.