Inpatient admissions once again require prompt notification or prior authorization

Blue Cross^® Blue Shield^® of Arizona (BCBSAZ) is continuing all mandatory waivers required by CMS, the Federal Employee Program® (FEP®), and executive orders – see current list. Effective June 1, 2021, we are once again requiring notification or prior authorization for all inpatient facility admissions. The only exception is for transfers facilitated through the ADHS Arizona Surge Line for patients with, or suspected of having, COVID-19. If required prior authorizations are not obtained, claims may be denied and penalties applied.

See details:
Current COVID-19 waivers (06/01/21)
Many BCBSAZ COVID-19 waivers to end May 31 (04/06/21)

Supporting our community

Some examples of how we’ve partnered with state and local leaders include:

  •  Helping to facilitate testing

  •  Offering funding for needed supplies

  •  Contributing to food banks and other community resources to support essential services

  •  Assisting state leadership in creating multiple, highly efficient COVID-19 vaccination clinic sites

Supporting high-risk members with care management

The BCBSAZ Care Management program provides support to high-risk and critically ill patients who could benefit from enhanced care coordination.

See details and referral information:
BCBSAZ offers support for members at high risk for severe COVID-19 illness (04/01/20)