COVID-19 Provider Resources

As new developments arise around treating patients for the novel Coronavirus (SARS-CoV-2) and the illness it produces (COVID-19), Blue Cross and Blue Shield of Louisiana has been closely monitoring these developments so we can best meet the needs of our members and providers.


GENERAL NOTICES

Blue Cross Policy on COVID-19 Testing

Sept. 17, 2021

Blue Cross covers diagnostic viral detection and antibody COVID-19 testing with a healthcare provider order. However, please inform your patients that Blue Cross will not cover tests done for public health surveillance, or tests required to return to work or attend recreational events or groups.

You Can Help Patients Overcome COVID-19 Vaccine Hesitancy

Aug. 3, 2021

Blue Cross wants to help Louisianians Get The Facts, Get The Vax. We would like to support providers working with patients to overcome COVID-19 vaccine hesitancy. We created materials to share factual information about the COVID-19 vaccine. Providers can share these with patients.

You Can Help Build COVID-19 Vaccine Confidence Among Your Patients

June 3, 2021

Pediatricians can help families feel safe, confident and prepared to get the COVID-19 vaccine. Please share this information to encourage families in scheduling COVID-19 vaccines for everyone age 12 and older.

FDA Revokes bamlanivimab

May 5, 2021

On April 16, 2021, the U.S. Food and Drug Administration (FDA) revoked the emergency use of monoclonal antibody therapy bamlanivimab when administered alone. Blue Cross and Blue Shield of Louisiana now considers the administration of bamlanivimab when administered alone as investigational.

COVID-19: Vaccination Billing and Outreach

April 19, 2021

Several COVID-19 vaccines are now available to a growing number of people. This notice is an update on billing these services to Blue Cross and has news of an effort we are joining to help people get vaccinated.

COVID-19: Continued Advancements in Treatment

Dec. 30, 2020

There continue to be advancements in the treatment of COVID-19, which we closely monitor. This includes the progress of vaccines and new drugs. This notice is an update on billing COVID-19 vaccines and drugs to Blue Cross.

COVID Update – Member Cost Shares, Authorizations, Vaccines and more

Dec. 2, 2020

The long weeks and months that have passed since early 2020 prove that COVID-19 will be with us for the long haul. We now consider COVID-19 not a temporary, but a long-term health problem that we can expect to face for an indefinite time. -- CORRECTED LETTER

Blue Cross Waives Reporting Requirements for the Hospital Quality Program due to COVID-19

June 8, 2020

We are waiving reporting requirements for the first and second quarter 2020 measures in our Hospital Quality Program

Temporary COVID-19 Provisions Update

May 22, 2020

As we slowly return to a “new normal” from the COVID-19 healthcare crisis, we want to remind you of upcoming end dates to some of our temporary provisions.

THANK YOU to our providers for all they are doing!

April 17, 2020

In support of our providers, learn about a few of our COVID-19 relief provisions.


AUTHORIZATIONS

Additional COVID-19 Authorization Waivers Ending

Sept. 16, 2021

Blue Cross electively added additional authorization waivers effective August 20, 2021. These additional waivers will be coming to an end on September 30, 2021. 

Additional Authorization Waivers Implemented

Aug. 23, 2021

Effective August 20, 2021, Blue Cross is waving prior authorizations for urgent inpatient admissions and stays, and outpatient services and DME services, when criteria are met.

Temporary Transfer Authorization Requirements Policy

Aug. 12, 2021

With the latest surge of COVID-19, many Louisiana hospitals are seeing increased inpatient admissions. Blue Cross and Blue Shield of Louisiana understands that there may be a growing need to transfer patients for continued medical services. To help ease our hospitals’ administrative burdens, we are implementing temporary authorization requirement provisions.

Revised COVID Authorization Requirements

Sept. 22, 2020

Updates were made to the temporary COVID-19 authorization provisions.

Temporary Authorization Requirements Policy Extended

May 1, 2020

On March 27, 2020, Blue Cross and Blue Shield of Louisiana implemented temporary authorization requirements through April 30, 2020. We are extending the date through May 31, 2020.

Blue Cross Suspends Pre-pay Itemized Bill Reviews

April 17, 2020

We are temporarily suspending the requirement to submit itemized bills for inpatient acute-care claims greater than $200,000 between April 13 to May 31, 2020.

Temporary Authorization Requirements Policy

March 27, 2020

To help relieve the administrative burden on hospitals, we have implemented temporary authorization requirement changes.


TELEHEALTH

Telehealth Guidelines

Oct. 6, 2020

We have compiled a list of existing and expanded direct-to-consumer telehealth services.

Telehealth Frequently Asked Questions (FAQs)

May 14, 2020

We have compiled a comprehensive list of FAQs to help providers better understand all of the recent telehealth changes to help with the COVID-19 healthcare emergency.

Outpatient Therapy Services via Telehealth

May 12, 2020

Blue Cross’ expanded telehealth provisions include outpatient physical, occupational or speech therapy services delivered within credentialed network facilities when criteria are met.

Telehealth Preventive Wellness Visits During COVID-19 Crisis

May 6, 2020

Effective for dates of service on and after March 16, 2020, Blue Cross is further expanding our policies to allow credentialed network providers to deliver preventive wellness services for all age groups as telehealth visits.

Telephone Telehealth Services

April 24, 2020

Blue Cross releases guidelines for telephone telehealth services.

Telehealth Guidelines for IOP & PHP Services

April 24, 2020

Blue Cross releases guidelines for telephone telehealth services.

Chiropractic Telehealth Guidelines During COVID-19 Crisis

April 20, 2020

We are expanding our telehealth policies for Chiropractic services.

Member Cost Share Waivers to Include All Telehealth Services

April 14, 2020

Now, in addition to BlueCare, members may be eligible for $0 telehealth visits, audio/video or by phone.

ABA Telehealth Services During COVID-19 Crisis

March 27, 2020

We are expanding our telehealth policies in response to COVID-19 to include applied behavioral analysis (ABA) Services.

Additional Telehealth Service Changes

March 26, 2020

As we continue to monitor how COVID-19 affects the services you bring to our members, we are further expanding our telehealth policies effective for dates of service on and after March 16, 2020.

Expansion of Telehealth for Remote Care During COVID-19

March 20, 2020

Blue Cross and Blue Shield of Louisiana is closely monitoring the spread of novel Coronavirus (COVID-19) to determine how it could affect the services you bring to our members, while also protecting our employees and the communities we serve.

We are doing everything we can to help with the national message on social distancing, and the telehealth services you provide can help ensure our members have access to the care and medications they need during this time of public health emergency.

Therefore, in response to the COVID-19 national emergency, Blue Cross and Blue Shield of Louisiana is expanding its telehealth policy as a way to keep provider offices up and running to meet the needs of patients.

At this time, we are expanding our telehealth policy to allow any credentialed, network physician, nurse practitioner, physician assistant, behavioral health specialist, or physical, occupational or speech therapist to provide telehealth services to replace office visits. Providers must follow the telehealth billing guidelines in the provider manual and agree to Blue Cross’ allowable charges.


BILLING & CODING GUIDELINES

Third Dose Vaccines

Sept. 8, 2020

Blue Cross and Blue Shield of Louisiana has updated its claims filing system to now accept the following COVID-19 CPT® and HCPCS codes.

COVID-19 Vaccine and Treatment Coding Reminder

Feb. 19, 2021

We want to remind providers to bill COVID-19 vaccines and treatments with the designated codes for each manufacturer. Administration costs are eligible for Blue Cross and Blue Shield of Louisiana payment when billed with the correct codes.

COVID Allowable Update for Ambulance Providers

Sept. 9, 2020

We updated the allowable charges for the non-mileage portion of ambulance claims for select dates of service and diagnosis codes.

Recommended COVID-19 and Respiratory Pathogen Testing

Aug. 5, 2020

After thorough review from our own medical directors, Blue Cross has published recommendations for COVID-19 testing.

COVID Antibody Testing Allowable Update

June 1, 2020

We established interim allowable charges for dates of service April 10, 2020, and after for antibody testing for the CPT® codes.

Inpatient Reimbursement Increase for Acute Facilities

May 5, 2020

For inpatient acute care claims with a beginning date of service between March 1 and May 31, 2020, Blue Cross is implementing an increase in inpatient base allowable for its network acute facilities for specific COVID-19 diagnosis codes.

Coverage of Antibody Testing for COVID-19

May 4, 2020

Blue Cross will cover Antibody Testing for the novel coronavirus (COVID-19) without any out-of-pocket costs to members when criteria are met. Full details are in our letter, which also includes a special message from one of our medical directors about our COVID-19 testing strategy.

Lowering Costs for Members Being Tested or Treated for COVID-19

April 9, 2020

Blue Cross is now waiving member cost-sharing for COVID-19 medical treatments, including professional and facility services.

In-home Therapy Services Guidelines

March 27, 2020

Therapists providing in-home encounters must adhere to Blue Cross guidelines.

Billing Inpatient COVID-19 Consultations for Patients in Isolation

March 27, 2020

As more people are diagnosed with COVID-19, some may require isolated inpatient hospitalization. Please read the guidelines for billing inpatient consultations when the provider is not able to physically enter the room of a patient in isolation.

COVID-19 Code Allowables Now on iLinkBlue

March 25, 2020

Providers can now view allowable charges on iLinkBlue for the COVID-19-related codes.

COVID-19 Billing Resources

March 20, 2020

Important guidelines to help providers bill properly for COVID-19 testing.


CREDENTIALING & PROVIDER DATA MANAGEMENT

DocuSign for Select Provider Forms

March 18, 2020

Electronic submission only for some provider forms.


QUALITY BLUE

QBPC Updates: COVID-19

Dec. 23, 2020

Blood Pressure Cuff Calibration: policy waiver is extended through June 30, 2021.

Quality Blue Primary Care (QBPC) Program Telehealth Services

May 21, 2020

QBPC has operational processes and some changes being made within the program that reflect telehealth services.

QBPC Blood Pressure Cuff Notice

April 22, 2020

View updated information about home blood pressure calibration and monitoring provisions being made for our members.

Quality Blue Primary Care Claims-based (QBPC-CB) Tiering Update

April 17, 2020

We are altering the tiering process for QBPC-CB for November 2020.

Quality Blue Primary Care (QBPC) Tiering Process

March 26, 2020

We are altering the tiering process for May 2020.

Other Resources