OSP News

BCC: Prior Authorization Update

Posted: 10/28/2026

Blue Cross Complete has provided the Q4 2026 Centers for Medicare & Medicaid Quarterly Code Update. These are new rules established for 142 medical and pharmacy codes, effective October 1st 2026. 

BCC have provided the following documents alongside these updates:

Additionally, prior authorization requirements for several HCPCS codes and services have been updated. 

As a reminder, when you do need to verify whether a service requires prior authorization, use the Prior Authorization Lookup Tool at mibluecrosscomplete.com. Please remember, the results of this tool are not a guarantee of coverage or authorization.

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