Making It Easier for Members to Access CT Chest Scans
With the rapidly evolving COVID-19 public health crisis, Blue Cross and Blue Shield of Illinois (BCBSIL) is temporarily making it easier to access chest computed tomography (CT) services. This change gives our members access to the care they need during this public health emergency.
What’s new: As of March 2, 2020, providers who request prior authorization for chest CT scans with a COVID-19 diagnosis will receive an approval for benefits without the need for clinical documentation. To help ensure that the request is approved, providers must use the proper CPT codes and the associated diagnosis codes for COVID-19 when requesting prior authorization.
We are also temporarily waiving the member requirement to notify us when they are scheduled to have a chest CT scan.
Chest CT scans provided to members for dates of service from March 2 to April 30, 2020.
All members for whom a prior authorization is required for CT scans, including fully insured and self-funded groups, retail, Medicare Advantage or Medicaid members.
This does not apply to BCBSIL members with an HMO benefit plan.
We will evaluate the need to extend the temporary accommodation past April 30, 2020, closer to that date.