What types of policy changes does Florida Blue issue?

Florida Blue regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does Florida Blue update its policies?

Florida Blue typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

How many Florida Blue policy changes are tracked here?

This page currently tracks 50 documented Florida Blue policy changes. New items are added as they are identified.

What should I do when Florida Blue changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

Florida Blue Policy Changes 2026 | Prior Auth & Coverage Updates

Florida Blue Policy Changes & Prior Auth Updates

We track 50 documented policy changes from Florida Blue across FL. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original Florida Blue notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new Florida Blue updates automatically.

Medium impact

Optimizing Care Coordination and CPT II Codes (HEDIS Measures AMR, CBP, GSD, SPC)

Florida Blue·Effective Aug 1, 2025

Blue Cross Blue Shield Federal Employee Program has issued new guidance for optimizing care coordination through CPT II codes for four specific HEDIS quality measures: Asthma Medication Ratio (AMR), Controlling Blood Pressure (CBP), Glycemic Status Assessment for Diabetes (GSD), and Statin Medication Adherence (SPC). Providers must begin using specific CPT II codes when documenting blood pressure readings, HbA1c results, and statin intolerance to improve quality reporting and reduce chart review requests.

Transitions of Care: Inpatient Notification and Discharge Information Best Practices

Availity Essentials Update: Authorization Submissions for Inpatient Services

Medicare Part B Step Therapy Product Updates

CAHPS Survey: Improving Patient Satisfaction and Outcomes

Complementary Health Assessments Offered to Commercial Plan Members

CMS RADV Audit, Payment Year 2019: We May Request Medical Records

Evolent Prior Authorization Programs' Code Updates for Medicare Advantage Members

Change in Medicare Post Acute Care Program Management

Transitions of Care: Patient Engagement After Discharge and MRP Best Practices

How to Report Confirmation of Pregnancy: Review of Prenatal CPT II Codes

Availity Update: Authorizations Entry Option Replaces Manual Provider Information Entry

OneTouch Diabetes Supplies Removed from Formulary Starting Oct. 1, 2025

Optimizing Care Coordination and CPT II Codes (HEDIS Measures AMR, CBP, GSD, SPC)

Promoting Flu Vaccination and Judicious Antibiotic Use for Acute Bronchitis

Update to Hospital-Acquired Condition Policy Effective November 1, 2025

Equip Virtual Eating Disorder Treatment Program Now Available

Lucet’s Behavioral Health Provider Scheduling Tool for Eligible Members

Please Refer Members to Quest Diagnostics for Lab Services

The Annual Wellness Visit: Preventive Care for Your Medicare Advantage Patients

Flu Vaccine for Infants Best Practices

AMM HEDIS Measure to Retire: Portal Display to End

Commercial and Other Pharmacy Updates Effective October 1, 2025

Updated Categories for Medicare Advantage Part B Step Therapy

Register to Attend Florida Blue’s Next HEDIS Innovations Webinar on October 28

Significant Changes Coming to the Health Insurance Marketplace

Important Updates to Medicare Part B Drug Prior Authorization HCPCS Codes

Authorization Process to Change for Sleep Study Program

Closing HEDIS Care Gaps with Patient-Reported Diabetic Eye Exam Results

Closing HEDIS Care Gaps with Patient-Reported A1c Results

End-of-Year HEDIS Deadlines

PCP ADT Notification Tool in Availity

Stay Informed Through Our Provider Portal Communications

Valuable Insights Available in Your Summary Dashboard

Commercial Specialty Pharmacy Network Changes Coming January 2026

Notice of Change for Physician-Administered Drug Program

Updated Category for Medicare Advantage Part B Step Therapy

2026 Formulary Updates Coming January 1

Important Reminders About Patient Data Requests

GeoBlue is Now Blue Cross Blue Shield Global Solutions

Service Facility Now Required for Professional Claims

Under 65 Open Enrollment Starts November 1 for Individuals and Families

Announcing BlueVirtualCare, a Supplemental Virtual Care Option for Eligible Florida Blue Members

Florida Blue 2026 Medicare Health Plan Changes

Reminder: Authorization Process Change for Sleep Study Program

Supporting the HEDIS Transitions of Care Measure

HEDIS Minimum Documentation Guide for MY2025

Supporting an Enhanced Experience for Your Patients

CVS Specialty To Cease Prior Auth Reviews for Commercial Members

Medicare Part B Step Therapy Product Updates

CAHPS Survey: Improving Patient Outcomes Through Member Feedback