New Sleep Testing Services Program – Effective Date Rescheduled to October 1, 2022

Our new sleep diagnostic testing program, previously announced to become effective on August 1st has been rescheduled to October 1, 2022.

This new program is in partnership with CareCentrix® for our Commercial, Medicare, Dual Eligible Special Needs Plans (D-SNP), and Medicaid members.

Until October 1, 2022, all contracted providers will be able to provide home sleep tests for Optima members. However for the following two codes, G0399 and 95806, you will need to be part of the CareCentrix network to continue providing these services after this date. Please reach out directly to CareCentrix® if you are interested in learning more about joining their home sleep network.

There will be no change to how you are obtaining authorizations for sleep diagnostic testing prior to the October 1st effective date. Beginning October 1, all requests for sleep diagnostic testing will require prior authorization from CareCentrix®.

If you have questions about Optima Health services, please contact your Network Educator at 1-877-865-9075, option 2.