Health Risk Assessment

Medicaid and Child Health Plus Changes

Effective November 1, 2016


Effective November 1, 2016, BlueCross BlueShield of Western New York (BlueCross BlueShield) entered into a partnership with Amerigroup to administer services to Medicaid Managed Care (MMC) and Child Health Plus (CHP) members.

As a result of this partnership, providers will follow new procedures for claims submission, utilize new phone and fax numbers and access a new web site for policy and procedure information, secure self-service, prior authorization look-up and more.

When managing your Medicaid and Child Health Plus patients, please use the contact information below to obtain the correct support and information.

 

Contact Information:

 

Provider Service

 

Pharmacy Prior Authorization:

 
 
Prior Authorization
  • Phone: 1-866-231-0847
  • Submit online: www.bcbswny.com/stateplans
  • Inpatient/outpatient surgeries fax:  1-800-964-3627
  • General requests fax: 1-800-964-3627
  • Behavioral health – inpatient fax: 1-877-434-7578          
  • Behavioral health – outpatient fax: 1-866-877-5229
  • Durable medical equipment fax: 1-844-765-5163
  • Therapy (PT, OT, ST) fax: 1-844-765-5163
  • Pain management injections fax: 1-844-765-5163
  • Home health nursing fax: 1-844-765-5163