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Medicaid and Child Health Plus Changes

Effective November 1, 2016

Effective November 1, 2016, Highmark Blue Cross Blue Shield of Western New York (Blue Cross Blue Shield) 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 website 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:

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