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Important Dates and Reminders

We know you're busy, so check here each month for a quick snapshot of recent implementations, upcoming changes, special events, important deadlines and other reminders from Blue Cross and Blue Shield of Illinois (BCBSIL). While this list isn't all-inclusive, we hope this summary is useful.


COVID-19 Related Information

For updates to assist you during the crisis transition, refer to our listing of important dates and reminders related to COVID-19.

 

Confirmation of Recent Implementations

Topic

Brief Description

Important Date(s)

For More Information

Telehealth Cost-Sharing Waiver

BCBSIL is no longer waiving member cost-sharing for telehealth, including deductibles, copayments and coinsurance for telehealth visits. 

Expired Aug. 15, 2021

Upcoming Changes to Telehealth Cost-Sharing
(July 2021, News and Updates)

 

Upcoming Changes to Watch For

Topic

Brief Description

Important Date(s)

For More Information

Prior Authorization Procedure Code List Changes (Commercial)

Some codes are being added and some codes are being removed for prior authorization for some of our commercial, non-HMO members.

Oct. 1, 2021

Prior Authorization Code Updates for Some Commercial Members, Effective Oct. 1, 2021
(August 2021, Blue Review)

Prior Authorization Procedure Code List Changes (Government Programs)

Some codes are being added for prior authorization for Blue Cross Medicare Advantage (PPO)SM (MA PPO), Blue Cross Community MMAI (Medicare-Medicaid Plan)SM and BCCHP members.

Oct. 1, 2021

Government Programs Prior Authorization Update: Code Changes, Effective Oct. 1, 2021
(August 2021, Blue Review)

Utilization Management Change for Medical Oncology Drugs

A vendor, rather than BCBSIL, will manage prior authorization requests and post-service medical necessity review for drugs in the Pharmacy Medical Oncology care category for some of our commercial, non-HMO members.

Oct. 11, 2021

Commercial Prior Authorization Update: Pharmacy Medical Oncology
(August 2021, Blue Review)

 

Special Events and Activities

Topic

Brief Description

Important Date(s)

For More Information

Monthly Hot Topics Webinar for Providers

Each month, our Provider Network Consultants (PNCs) will be hosting a Hot Topics webinar to help keep you up-to-date on important information you need to know to do business with us. You’ll also get a chance to ask the PNCs questions.

This month’s webinar will be on Sept. 8, 2021. Register today!

See the Webinars and Workshops page on our Provider website for upcoming dates, times and online registration.

Earn one continuing medical education/continuing education unit (CME/CEU) at free behavioral health webinar

Join BCBSIL’s board-certified psychiatrists and behavioral health medical directors on opioid use disorder. All providers are welcome.

Oct. 25, 2021

Earn CME/CEU Credit at Free Webinar on Opioid Use
(July 2021, Blue Review)

Depression in a Primary Care Setting

Watch a recording of our June 2021 webinar and earn CME/CEU credit. This free introductory training offers a high-level overview of depression and measurement-based care in a primary care setting, with discussion of treatment options across settings.

Register or sign in to join now

Earn CME/CEU Credit at Free Webinar on Opioid Use
(May 2021, News and Updates)

 

Deadlines and Other Reminders

Topic

Brief Description

Important Dates

For More Information

ACA-compliant individual and small group plans (medical record retrieval)

BCBSIL or a contracted vendor may be contacting you for patient medical records for 2019 Health and Human Services Risk Adjustment Data Validation (HHS-RADV)/ Initial Validation Audit (IVA)

January through September 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, News and Updates)

ACA-compliant individual and small group plans (medical record retrieval)

BCBSIL or a contracted vendor may be contacting you for patient medical records for 2020 HHS-RADV/ IVA

May through January 2022

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)

HMO (medical record retrieval)

BCBSIL or a contracted vendor may be contacting you for patient medical records for Quality Improvement (QI) Project

June through December 2021

BCBSIL Medical Record Retrieval Summary
(February 2021, Blue Review)



Checking eligibility and/or benefits and/or obtaining prior authorization/pre-notification is not a guarantee of payment of benefits. Payment of benefits is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiums/contributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations, and exclusions set forth in the member's policy certificate and/or benefits booklet and or summary plan description. Regardless of any prior authorization or benefit determination, the final decision regarding any treatment or service is between the patient and their health care provider.

The New Mexico Osteopathic Medical Association (NMOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. NMOMA designates this program for a maximum of 1 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation.

Social Work CEUs Approved by NASW-NM. The Licensee must maintain proof of continuing education courses taken for the past four (4) years. The New Mexico Regulations and Licensing Department, Boards and Commissions, Social Work Licensing Board reserves the right to audit a licensee’s continuing education records as it deems necessary. This event has been approved for a total of 1 CEU.

Physicians (MDs and DOs), nurses, physician assistants, nurse practitioners and psychologists can use AOA Cat 1-4 credit toward licensure. Social workers and mental health counselors (LPC, LCPC, LPCC) can use the Social Work CEU credit toward licensure.