Enhanced Ambulatory Patient Groups (EAPG)

If a provider wishes to move to EAPGs on January 1, 2022, they will need to provide notice, via email request to FeeSchedules@bcbsnd.com by December 1, 2021. If a provider does not go onto the EAPG system on January 1, 2022 and wishes to move to the EAPG system during the 2021-2022 Fee Schedule period, the ability to move to the EAPG system will be done on a quarterly basis. We highly encourage providers to give the EAPG system serious consideration and submit any questions to your business partner or email FeeSchedules@bcbsnd.com.

To move to the EAPG system, providers will need to provide notice, via email to FeeSchedules@bcbsnd.com by the 1st of the month preceding the start of the quarter in which they want to move to the EAPG system.

For example:

  • December 1, 2021 for a start date of January 1, 2022;
  • March 1, 2022 for a start date of April 1, 2022