OSP News

Blue Cross Complete Updates to Authorization Requirements

Posted: 04/20/2022

Blue Cross Complete (BCC) recently updated plan notification and authorization requirements. A brief summary of the changes includes:

  • Effective May 1, 2022, BCC will require prior authorization from National Imaging Associates Inc., a subsidiary of Magellan Health, to manage non-emergency outpatient diagnostic services under NIA’s Medical Specialty Solutions program.
  • Colonoscopy and upper endoscopy removed from surgical and diagnostic procedures; effective May 1, 2022, authorization isn’t required.
  • Removed sacroiliac injections - authorization isn't required.

Click here to view the BCC's utilization management authorization requirements. Full updated plan notification and authorization requirements are located on BCC's website at mibluecrosscomplete.com, to find them go to Providers, then select Resources from the drop-down. Scroll down to Clinical and administrative resources and click on the Administrative tab. Under Utilization management authorization requirements.

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