Welcome to Cigna Healthcare^® Medicare Advantage‑Contracted Providers

Our acquisition of Cigna Healthcare’s Medicare Advantage business is finalized. We are pleased to partner with providers to support members’ care and are committed to a smooth transition. No changes to member benefits will happen in 2025. Learn more about the acquisition and what it means for you.

Quality Measures Track Treatment and Follow‑Up Visits for Substance Use Disorders

You can play an important role in members’ care by discussing the signs of substance use disorders and encouraging getting help, if appropriate. Review tips to close care gaps.

Update Your Records with New Member ID Numbers

Newly enrolled members or members who have new benefit plans may have new ID numbers. Learn why it’s important to use the entire ID number, including the three‑character prefix, when checking eligibility and benefits and submitting claims.

Medicaid Update: Utilization Management Program Changes for BCCHP^SM to Align with Illinois Senate Bill 3268

Beginning July 1, 2025, for members with Blue Cross Community Health Plans^SM, requirements are changing for notification of emergent hospital inpatient admissions. Learn about the notification requirement changes and potential utilization review.

Explore Learning Opportunities

We offer free webinars and workshops for providers who participate in our networks. View the schedule and sign up for sessions, including:

• Behavioral health in older adults, offering continuing education credit

• Culture of caring, offering continuing education credit

• Pediatric care: Postpartum depression, youth obesity management and NICU pediatrics

Watch for Our Annual Satisfaction Survey

The survey measures your satisfaction with Blue Cross and Blue Shield of Illinois and identifies areas where we can refine. Learn how to participate.

Pharmacists Can Enroll to Bill Under the Medical Benefit for Contraceptive and HIV Assessment and Consulting Services for Medicaid Members

New legislation in Illinois allows pharmacists to submit medical claims for hormonal contraceptive and HIV assessment and consulting services. To submit claims for our members with BCCHP, pharmacists must enroll with Illinois Medicaid and apply to become a participating provider with BCBSIL.

See the Latest Pharmacy Prior Authorization Changes

We’re making updates to our standard pharmacy prior authorization programs. Changes affect members with prescription drug benefits administered by Prime Therapeutics. Review what’s changing, effective May 1, 2025.

Review Updates to Clinical Payment and Coding Policies

We regularly add and modify our CPCPs as part of our ongoing policy review. See which policies were updated and when.

See Updated Policy for Billing Telemedicine and Telehealth Services

Our revised CPCP for telemedicine and telehealth services includes new coding guidance from the American Medical Association.

Review New Policy for Billing Lactation Support Services

Effective June 26, 2025, we have a new CPCP with billing and coding guidance for lactation support services provided during the antenatal, perinatal and postpartum periods.

Review Medical Policy Updates

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.