High call volumes
Our member and provider services may be experiencing higher than normal call volumes. We encourage you to utilize alternative forms of communication including secured messaging through online Member Services and Availity Essentials Provider Portal.
Phones unavailable today 330-5pm CST today
Please be advised that the CCC member phones are coming down at 3:30-5pm CST today.
We are unable to accept walk-ins on Friday, Jan. 2., due to short staffing.
Applies to both Commercial and Medicaid Expansion
Blue Cross Blue Shield of North Dakota (BCBSND) continually develops and revises pharmacy policies in response to rapidly changing pharmaceutical requirements. Our commitment is to update the provider community as pharmacy policies are adopted and/or revised.
Medicaid Expansion Updates
Note: There may be corresponding policies for our Commercial lines of business.
The following Medicaid Expansion medical drug policies are new and effective Mar. 1, 2025:
The following Medicaid Expansion medical drug policies are revised and effective Feb. 1, 2025:
The following Medicaid Expansion medical drug policies are revised and effective Mar. 1, 2025:
The following Medicaid Expansion medical drug policy has a coding change effective Jan. 1, 2025:
The following Medicaid Expansion medical drug policy will be retired on Feb. 28, 2025:
The following Medicaid Expansion medical drug policies were reviewed with no clinical content change:
Commercial Updates
The following Commercial medical drug policy has a coding change effective Jan. 1, 2025:
The following Commercial medical drug policies are new and effective Feb. 1, 2025:
*Please reference www.gatewaypa.com/policydisplay/52 on or after Feb. 1, 2025
The following Commercial prior authorization medical drug policies have revisions:
*Please reference www.gatewaypa.com/policydisplay/52
The following Commercial post service claim edit medical drug policies have revisions:
*Please reference: www.gatewaypa.com/policydisplay/52
The following Commercial medical drug policy will be retired on Jan. 15, 2025:
The following are new retail pharmacy Utilization Management programs:
Questions?
Contact the appropriate Customer Service Provider Center: Commercial: 1-800-368-2312 or Medicaid Expansion: 1-833-777-5779.
