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Blue Bulletin

BlueCross BlueShield of WNY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • New Enumeration Form for Advanced Practice Providers (APPs) Now Live

    January 14, 2022

    We previously announced a new enumeration process for Advanced Practice Providers (APPs) beginning January 1, 2022. As a reminder, APPs will no longer be required to be fully credentialed with us. To enumerate, APPs will need to complete a simple online form within Highmark’s systems.
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  • Preauthorization Temporarily Waived for In-Network Hospital and Facility Transfers

    January 14, 2022

    In accordance with the recent DFS Circular Letter 1 (2022), we are temporarily removing preauthorization review of all patient transfers between in-network hospitals and in-network rehabilitation and skilled nursing facilities following an inpatient stay. This temporary change will be effective for 30 days as of January 6, 2022 for your Highmark Blue Cross Blue Shield of Western New York commercial, Medicare Advantage and self-insured ASO patients*.
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  • 2022 Medication Coverage Changes

    December 21, 2021

    Beginning January 1, some previously prescribed medications for your Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) Commercial and Medicare Advantage patients may have different cost-share, quantity limitations, coverage criteria, or may not be covered. In this article, you can find a list of top impacted medications.
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  • $2.67 Million Awarded to Address Racial and Health Inequities

    December 21, 2021

    Highmark of Western and Northeastern New York has announced a $2.76 million investment focused on addressing racial and health inequities in its local communities. This brings our total 2021 community investments and partnerships to more than $7 million as part of a commitment to invest $70 million over the next decade. Major grant recipients include Buffalo Center for Health Equity and Buffalo Go Green. Here, you can read more about these initiatives.
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  • 2022 Medicare Advantage Benefit Updates

    December 21, 2021

    Highmark Blue Cross Blue Shield of Western New York continues to review and adjust patient benefits to meet the needs of our membership and market demands. We want to let you know about several benefit updates for your Highmark BCBSWNY Medicare Advantage patients beginning January 1, 2022.
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  • United Concordia Dental Educational Resources Available Online

    December 21, 2021

    To help dental providers navigate the United Concordia Dental (UCD) website, we’ve added a series of short educational videos to our dental resource page. As your dental patients move onto UCD’s system as part of our Highmark affiliation, these videos will help you understand how to file claims, review payments, utilize their portal and more.
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  • Medical Protocol Updates Available Online – December 2021

    December 21, 2021

    We recently reviewed 47 medical protocols. These will be posted online on or before January 1, 2022 and will have an effective date of February 1, 2022, unless otherwise noted. Highmark’s monthly Medical Policy Update Newsletter for patients moved onto Highmark’s system will be available online on or before December 27.
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  • HIV/AIDS Awareness Month - End the Epidemic

    December 21, 2021

    December marks national HIV/AIDS Awareness Month. In an effort to end the AIDS epidemic in New York, End the Epidemic, a three-point plan, seeks to reduce new HIV infections annually from 3,000 to 750 and the rate at which persons diagnosed with HIV progress to AIDS by 50%.
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  • Timely Exchange of Health Information

    December 21, 2021

    We’re sharing our 2021 findings about timeliness and quality of information exchange between primary care providers (PCPs) and Specialists, and PCPs and Behavioral Health providers.
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  • Medicare Advantage COVID-19 Vaccine and Antibody Treatment Update for 2022

    December 03, 2021

    Beginning January 1, 2022, all claims for administering the COVID-19 vaccine (including booster and additional doses) and antibody treatment should be submitted directly to Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY).
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