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Annual Fee Schedule Update Notification

Posted March 6, 2015 

Effective June 1, 2015, BCBSIL will implement its annual update of the Schedule of Maximum Allowances (SMA) in relation to the Centers for Medicare & Medicaid Services (CMS) Resource Based Relative Value Scale revisions and CMS fees for DME Supplies, Prosthetics, Orthotics and clinical laboratory codes. Reimbursement for services provided on or after June 1, 2015, will be based on the updated fee schedule. This update affects PPO and Blue Choice PPOSM fee schedules for professional providers. Providers may request fee schedules for this update starting May 27, 2015. 

The information above is not intended to be an exhaustive listing of all the changes. Annual and quarterly fee schedule updates may be requested by using the appropriate Fee Schedule Request Form, available in the Education and Reference Center/Forms section. This form also may be used to request updates on specific code changes that are referenced in the Blue Review.