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
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