Our Member Services Representatives are unavailable Thursday, November 26, and Friday, November 27, due to the holiday. (Medium)

Waiver of Precertification for Post-Acute/Alternate Care Authorizations-REVISED

Blue Cross Blue Shield of North Dakota (BCBSND) will temporarily waive the precertification process for all in-state post-acute/alternate care service requests when transferring from acute hospitals beginning November 12, 2020 through December 31, 2020. We understand the serious demands that have been placed on North Dakota healthcare workers due to the COVID-19 pandemic. We hope this will help alleviate the critical bed capacity concerns for those who need immediate care.
 
Admission notification of the transfer of patients to these services must be made to BCBSND, preferably via Availity. Notification can also be made via fax. Concurrent review of these cases must be completed by day seven of the patient transfer. At that time, clinical documentation will be required for continued approval.
 
Post-acute/alternate care service covered under this temporary change include the following:

  • Skilled Nursing Facilities
  • Long Term Acute Care Facilities
  • Home Health Care
  • Hospice Care
  • Inpatient Rehab Facilities
  • Transitional Care Units

Precertification will continue to be required for alternate care services requested for Federal Employee Program (FEP) and out-of-state services. If you have questions, please email: prov.partners@bcbsnd.com