Provider Updates

Important: While medical prior authorization submission requirements are changing October 1, 2026, the method of prior authorization requests for medications dispensed through a pharmacy are policy-dependent: BlueSelect…

Effective October 1, 2026, all Wyoming providers are required to submit initial prior authorization and concurrent review requests through Availity. Faxed requests from in-state providers…

Starting October 1, 2026, BCBSWY’s preferred Specialty Pharmacy will transition to Prime Therapeutics Pharmacy (PTP).  By partnering with PTP, BCBSWY is strengthening its specialty pharmacy program…

BCBSWY is introducing a new Site of Care program, CarePath, designed to support health care affordability and access across Wyoming. The program connects members…

BCBSWY is introducing a new Site of Care program, CarePath, designed to support health care affordability and access across Wyoming. The program connects members…

For providers who may need a refresher, Blue Cross Blue Shield of Wyoming does not print remittance advice statements by request. Availity remains the most…

We are excited to share that our AGM platform has officially gone live. As with any major system transition, we continue to monitor performance…

We are excited to share that our AGM platform has officially gone live. As with any major system transition, we continue to monitor performance…

Updates to several claim edits (DPs) will take effect July 1 to align with CMS guidance and current clinical recommendations. Gastrointestinal Pathogen Panels Non‑Covered…