OSP News

Blue Cross Complete Prior Authorization Requirement Updates

Posted: 10/07/2025

Prior authorization and notification requirements have been added for medical and pharmacy codes, including a select number of durable medical equipment, medical and surgical supplies and devices, laboratory services, and surgery codes. 

The following changes to Prior Authorization requirements took effect October 1, 2025:

Updates to the prior authorization and medical necessity review for these services are part of Blue Cross Complete’s continued dedication to supporting providers in their shared commitment to high quality health care for participants. 

Click here to read the full article from Blue Cross Complete.

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