Medicare AdvantageAdministrativeMedium impact
CareFirst BlueCross BlueShield Advantage DualPrime Providers – New Electronic Medication Prior Authorization Submission Process Effective March 30
CareFirst BlueCross BlueShield·Prior Authorization
Effective date
Mar 30, 2026
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield Advantage DualPrime is implementing a new electronic medication prior authorization submission process through the CareFirst Provider Portal starting March 30, 2026. Providers can now submit medication prior auth requests electronically via the Novologix system instead of calling or faxing, which will streamline processing and provide better tracking capabilities.
Action Required
By March 30, 2026: Staff must register for access to CareFirst Provider Portal (CareFirst Direct) if not already enrolled. Train staff to navigate to 'Prior Auth/Notifications' tab and use the 'Medications' tile to submit electronic medication prior authorization requests through the Novologix system. Complete the 'How to Enter Medication Prior Authorizations' course for step-by-step instructions. Stop calling or faxing medication prior auth requests for CareFirst Advantage DualPrime members after March 30.