Recapping 2024 and What’s New for 2025

As we approach the end of 2024 and look forward to 2025, we want to remind our provider community about some significant changes that will impact our lines of business in 2025. Our HealthCare News | BCBSND articles can be reviewed throughout the year, but let’s take a look at some of those important news articles and changes that have taken place in 2024 and begin in 2025.

In early 2024, we began work on the implementation and improvements of our new prior authorization platform Preditcal and PA Checkpoint process.

Commercial
2024 Completed Projects and Updates

• Implementation of Preditcal PA provider portal
• Implementation of PA checkpoint webpage and portal implementation through Availity
• Implementation of medical drug prior authorization moving to PrimeRX
• Claims correction process

2025 Movements

• Prior authorization fax cut-off
  • Reminder: Faxed Prior Authorization Requests
• Prior authorization list changes
  • Prior Authorization list Changes for Jan. 1, 2025
• Licensed Associate Professional Counselor (LAPC) credentialing updates
  • Reminder: Notification for Licensed Associate Professional Counselor’s (LAPC) Credentialing Updates

Medicaid Expansion
2024 Completed Projects and Updates

• Implementation of Preditcal PA provider portal
• Implementation of PA checkpoint webpage and portal implementation through Availity
• Claims correction process

2025 Movements

• Provider Contact Center hours changing
  • Important Message: Medicaid Expansion Provider Service Center Hours are Changing
• Prior authorization fax cut-off
  • Reminder: Faxed Prior Authorization Requests
• Prior authorization changes
  • Prior Authorizations Changes for Jan. 1, 2025
• 1915(i) prior authorization changes
  • Important Update: 1915(i) Services Prior Authorization Changes
• LAPC Credentialing updates
  • Reminder: Notification for Licensed Associate Professional Counselor’s (LAPC) Credentialing Updates

Medicare Advantage NextBlue

• Provider News | NextBlue of North Dakota
  • Change to Services Requiring Prior Authorization
  • NextBlue of North Dakota Provider Insights
  • Discover What’s New for 2025

2024 Additional Completed Projects and 2025 Movements

• Blue Cross Blue Shield of North Dakota and NextBlue of North Dakota launch Mobile Outreach Services
  • Blue Cross Blue Shield of North Dakota and NextBlue of North Dakota launch Mobile Outreach Services
• TriWest Healthcare Alliance (TriWest) Partnership
  • Coming Soon: TriWest Healthcare Alliance (TriWest) Partnership
• BCBSND.me
  • BCBSND.me

We will continue to keep our provider community informed of movement into these changes through website updates and our HealthCare News.

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We look forward to 2025 and appreciate the continued collaboration of BCBSND and support of our members.