News and Updates

Blue Review newsletter

• 7/21/25 Providers with Medicaid: Encourage Members to Use Virtual Visits for Urgent Care After Hours
• 7/18/25 Update: Your NICU Claims Submissions Should Match Prior Authorization Levels of Care 
• 7/15/25 Identify Your First-Responder and Sign Language Services for HealthSelect of Texas^® Members
• 7/15/25 Review Reminder on Billing Point-of-Use Convenience Kits
• 7/10/25 Verify Your Directory Information Every 90 Days
• 7/07/25 Encourage Pediatric Well-Child Visits and Immunizations
• 7/02/25 Pharmacy Program Quarterly Update Changes Effective July 1, 2025 – Part 2
• 7/01/25 Review of Rescinded Prior Authorization Exemptions for Jan. 1 Through June 30, 2025
• 7/01/25 2025 Prior Authorization Exemption Renewal Results Now Available
• 6/30/25 Prior Authorization Code Updates for Medicare Advantage, Effective Oct. 1, 2025
• 6/27/25 Prior Authorization Code Changes for Commercial Members, Effective Oct. 1, 2025
• 6/24/25 Clinical Payment and Coding Policy Updates
• 6/24/25 Watch for Our Provider Availability and Access Survey
• 6/23/25 Review Updates to Clinical Practice and Preventive Care Guidelines
• 6/20/25 ClaimsXten™ Code Update Effective Aug. 18, 2025
• 6/18/25 Encourage Medicare Members to Respond to Health Outcomes Survey
• 6/17/25 Code Effectively to Earn Additional Incentive Payments on Medicare Advantage Claims
• 6/11/25 Provider Rights and Responsibilities
• 6/11/25 Member Rights and Responsibilities
• 6/03/25 Use Simplified Referral Form for American Indian/Alaska Native Limited Cost Share Plans
• 6/02/25 Encourage Routine Vaccines and Well-Care Visits for Adolescents
• 5/30/25 Postponed: Enhanced Claim Edit for Oncology Drugs and Services for Government Programs
• 5/29/25 Providers with Unused Record IDs May be Terminated from Networks
• 5/29/25 2024 Survey Results: Marketplace Members Rate Satisfaction with Providers
• 5/28/25 Prior Authorization Code Changes for Commercial Members, Effective July 1, 2025 
• 5/28/25 Verify Your Directory Information Every 90 Days
• 5/27/25 Clinical Payment and Coding Policy Updates
• 5/23/25 Update: Behavioral Health Substance Use Criteria for Utilization Management
• 5/22/25 Claims Reminders for Behavioral Health Services
• 5/20/25 Update: New Home Delivery Pharmacy Service to Fill Members’ Injectable GLP-1 Prescriptions
• 5/19/25 New Coding Policy for Global Obstetrical Maternity Services
• 5/13/25 Quality Measures Track Diabetes Care
• 5/09/25 Update: Access BlueApprovR^SM in Availity^® Authorizations, Effective in June 2025
• 5/09/25 Behavioral Health Resources for Providers
• 5/06/25 Pharmacy Program Quarterly Update Changes Effective July 1, 2025 – Part 1
• 4/28/25 Clinical Payment and Coding Policy Updates
• 4/24/25 Your NICU Claims Submissions Should Match Prior Authorization Levels of Care Effective Aug. 1, 2025  
• 4/09/25 Reinforce Prenatal and Postpartum Care to Support Whole Health
• 4/07/25 Behavioral Health Documentation to be Reviewed for Medicaid Members
• 4/03/25 Pharmacy Program Quarterly Update Changes Effective April 1, 2025 – Part 2
• 4/02/25 Prior Authorization Code Changes for Commercial Members, Effective July 1, 2025
• 4/02/25 Prior Authorization Code Updates for Medicare Advantage, Effective July 1, 2025
• 3/27/25 Clinical Payment and Coding Policy Updates 
• 3/26/25 Clinical Series Program Offers Education on Pediatric Care
• 3/25/25 New Coding Policy for Lactation Support Services Effective June 26, 2025
• 3/19/25 Cigna Healthcare Medicare Advantage Transaction Complete
• 3/17/25 Watch for Our Annual Satisfaction Survey
• 3/14/25 Update Your Records with New Member ID Numbers
• 3/13/25 Quality Measures Track Treatment and Follow-Up Visits for Substance Use Disorders
• 3/12/25 Policy for Billing Telemedicine and Telehealth Services Updated, Effective Jan. 1, 2025
• 3/05/25 Earn Continuing Education Credit in Webinar on Behavioral Health in Older Adults
• 3/01/25 Prior Authorization Exemptions Reviewed for July 1 through Dec. 31, 2024
• 2/27/25 Alacura to Manage Medical Transportation for TRS Participants, Effective June 1, 2025
• 2/25/25 Clinical Payment and Coding Policy Updates
• 2/25/25 New Data on Quality Measures for Reporting Year 2023
• 2/21/25 Claims Review to Be Enhanced for Oncology Drugs and Services for Government Programs, Effective June 1, 2025
• 2/14/25 Education and Residency Information Required for Directory
• 2/14/25 Encourage Follow-up Care after Hospital Visits for Mental Health
• 2/12/25 Has Your Information Changed? Update Us and the NPI Registry
• 2/07/25 Utilization Management Review Paused for Advanced Imaging Site of Care
• 2/06/25 Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)^SM 2023 Program Summary
• 2/05/25 Discuss Colon Health and Preventive Screening with Our Members
• 2/03/25 Pharmacy Program Quarterly Update Changes Effective April 1, 2025 – Part 1
• 1/28/25 Two Annual Surveys Track Commercial Members’ Health Care Experiences
• 1/28/25 CPCP006 Preventive Services Policy Updated Effective 02/01/2025
• 1/27/25 Encourage Medicare Advantage Members to Respond to Survey on Health Care Experiences
• 1/24/25 Update: Medical Policy Updates for Self-Administered Drugs Effective April 15, 2025
• 1/23/25 Patients in the Qualified Medicare Beneficiary Program Should Not Be Billed
• 1/23/25 Hospitals Must Provide Notice to Members Under Outpatient Observation for More Than 24 Hours
• 1/21/25 Quality Measures Help Track Our Members’ Heart Health
• 1/17/25 Pharmacy Program Quarterly Update Changes Effective Jan. 1, 2025 – Part 2
• 1/16/25 Prior Authorization Code Updates for Medicare Advantage Members Effective April 1, 2025
• 1/15/25 Avoid the Inappropriate Use of Antipsychotic Medication in Anxiety Disorders
• 1/08/25 Policy Revised on Revenue Codes Requiring Supporting Codes for Outpatient Facility Claims, Effective April 14, 2025
• 1/08/25 Contracted Providers Must File Claims
• 1/07/25 Update: Routine Services and Supplies - Updated 01/28/2025
• 1/07/25 Annual Review: CPCP025 Corrected Claim Submission Updated Effective 01/08/2025
• 1/06/25 Prior Authorization Code Changes for Commercial Members Effective April 1, 2025
• 1/06/25 Annual Review: CPCP030 Point-of-Care Ultrasound (POCUS) Examination Policy Updated 
• 1/02/25 CPCP041 Sepsis Policy Updated Effective 04/01/2025
• 1/02/25 Update: Behavioral Health Substance Use Criteria for Utilization Management 

ARCHIVED NEWS AND UPDATES:

• 2024 News Archive
• 2023 News Archive

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