Blue Review

Blue Cross Blue Shield of Montana
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Blue Review

For Providers

March 2026

 

MARCH SPOTLIGHT

Discuss Colon Health and Preventive Screening with Members

Preventive screening for colorectal cancer is recommended for adults ages 45 to 75. Review screening tests and tips to close care gaps.

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CLAIMS AND ELIGIBILITY

Take Note of Changes to Ground and Air Medical Transportation

Effective April 1, 2026, Alacura Medical Transportation Management will manage prior authorization, recommended clinical review and retrospective claim review for commercial ground and air medical transportation claims. See how to contact Alacura when transport is needed.

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Review Prior Authorization Changes for Some Commercial and Government Programs Members

We’ve updated prior authorization requirements for certain commercial and government plans to reflect new, replaced or removed codes.

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CLINICAL RESOURCES

Encourage Follow‑up Care After Hospital Visits for Mental Health

Among Americans ages 18 to 44, nearly 600,000 are hospitalized yearly for mental health‑related conditions, according to the National Alliance on Mental Illness. You can help our members by encouraging timely follow‑up care with behavioral health care providers when appropriate.

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EDUCATION

Explore Learning Opportunities

We offer free training for providers who participate in our networks. View and sign up for training sessions.

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NETWORK PARTICIPATION

GeoBlue® Is Now Blue Cross Blue Shield Global SolutionsSM

Members will receive BCBS Global Solutions ID cards during this transition. Member coverage, benefits and access to care don’t change.

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Verify Your Directory Information Every 90 Days

Our members and other providers rely on our provider directory for accurate information about your practice. As a contracted provider, your directory data must be verified at least every 90 days, even if it hasn’t changed.

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PHARMACY

Review Pharmacy Program Quarterly Update – Part 2

Changes were made to our drug lists and utilization management program. Learn about these and other pharmacy program updates.

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STANDARDS AND REQUIREMENTS

Learn About Updates to Reimbursement Policies

We regularly add and modify reimbursement policies, formerly known as coding and compensation policies, as part of our ongoing policy review. See which policies were updated.

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Review Active and Pending Medical Policies

Approved new or revised medical policies and their effective dates are usually posted on our website the first and 15th of each month. You can view all active and pending policies, as well as draft medical policies, and provide comments on draft policies. These policies may impact your reimbursement and your patients’ benefits.

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Stay Informed

Watch News and Updates and this newsletter for the latest information. If someone in your practice would like to receive Blue Review, share this link to subscribe.

Our provider website has information about training, online tools and other resources.

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Contact Us

Contact information for Network Representatives and other resources is on our website.

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bcbsmt.com/provider
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