Discuss Colon Health and Preventive Screening with Members

Preventive screening for colorectal cancer is recommended for adults ages 45 to 75. Review screening tests and tips to close care gaps.

Review Prior Authorization Changes for Some Commercial and Government Programs Members

We’ve updated prior authorization requirements for certain commercial and government plans to reflect new, replaced or removed codes.

Watch for Procedure Code and Fee Schedule Updates

Effective June 1, 2026, we’ll launch our annual update of the Schedule of Maximum Allowances, including durable medical equipment supplies, prosthetics, orthotics and clinical laboratory codes.

Encourage Follow‑up Care After Hospital Visits for Mental Health

Among Americans ages 18 to 44, nearly 600,000 are hospitalized yearly for mental health‑related conditions, according to the National Alliance on Mental Illness. You can help our members by encouraging timely follow‑up care with behavioral health care providers when appropriate.

Explore Learning Opportunities

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

See Our New EPSDT Clinical Practice and Billing Guideline

We’ve developed a new clinical practice and billing guideline to help you navigate requirements for the Early and Periodic Screening, Diagnostic and Treatment program. EPSDT helps Medicaid members under age 21 receive appropriate preventive health, dental, mental health, developmental and specialty services.

GeoBlue^® Is Now Blue Cross Blue Shield Global Solutions^SM

Members will receive BCBS Global Solutions ID cards during this transition. Member coverage, benefits and access to care don’t change.

Verify Your Directory Information Every 90 Days

Our members and other providers rely on our provider directory for accurate information about your practice. As a contracted provider, your directory data must be verified at least every 90 days, even if it hasn’t changed.

Review Pharmacy Program Quarterly Update – Part 1

Changes were made to our drug lists and utilization management program. Learn about these and other pharmacy program updates.

See the Latest Pharmacy Prior Authorization Changes

We’re updating our standard pharmacy prior authorization programs. Changes affect members with prescription drug benefits administered by Prime Therapeutics^®. Review what’s changing as of March 1, 2026.

Learn About Updates to Reimbursement Policies

We regularly add and modify reimbursement policies, formerly known as clinical payment and coding policies, as part of our ongoing policy review. See which policies were updated.

Review Active and Pending Medical Policies

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.