Reimbursement Update May 16-2024

Prior Authorization Submission Reminder

Providers should be using the online prior authorization submission portal in Availity. It is now live and fully accessible.

To report any issues related to errors during submission, please call 1-888-666-5188. Our Provider Relations Team will ask you to collect a screenshot of the error including the web address bar and the clock in the bottom right-hand corner of your screen. They will provide you an email address for submission. This will allow our technical teams to validate the issue. Your feedback is critical as we make technical improvements and streamline this process.

Currently, BCBSWY will only accept faxed authorizations for the following:

· FEP Membership (Contract number has an alpha prefix of “R”)

· Residential Treatment Center

· Skilled Nursing Facilities

· Acute Rehabilitation Facilities

· Long Term Acute Care Facilities

· Swing Bed

· Transplant Authorizations

In an effort to prepare for implementation of the 7/1 Prior Authorization Wyoming state legislation, BCBSWY will start requiring the following authorizations to be submitted through Availity effective 6/1/24.

· Residential Treatment Center

· Skilled Nursing Facilities

· Acute Rehabilitation Facilities

· Long Term Acute Care Facilities

· Swing Bed

Sign up for one of our upcoming webinars below to learn more!


BCBSWY Prior Authorization Enhancements

BCBSWY supported the recent legislation, HB0014 Ensuring Transparency in Prior Authorization Act, and worked with stakeholders to adopt policies intended to ease the administrative burdens for providers and members for prior authorization requests.

These upcoming webinars will help you become familiar with new processes to ease your prior authorization requests. We are offering two options that will cover the same content in both sessions.

Prior Authorization Enhancements Webinar

Wed., 6/12 12:00-1:00 pm

Register Now

Prior Authorization Enhancements Webinar

Tues., 6/18 12:00-1:00 pm

Register Now

 

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