MedicaidAdministrativeHigh impact
CareFirst CHPMD & DSNP Continuity of Claims
CareFirst BlueCross BlueShield·MD·Provider News
Effective date
Feb 21, 2024
We identified it
Jun 20, 2026
Summary
Due to a cybersecurity incident at Change Healthcare on February 21, 2024, CareFirst stopped processing claims through Change Healthcare and now requires providers to submit CareFirst CHPMD and DSNP claims electronically through Availity instead. All claims submitted through Change Healthcare since February 21 must be resubmitted through Availity.
Action Required
Immediately: Register with Availity for electronic claims submission using the Availity Essentials Portal Registration. Switch all CareFirst CHPMD and DSNP claims from Change Healthcare to Availity. Resubmit any claims sent through Change Healthcare since February 21, 2024. If using another EDI vendor that routes through Change Healthcare, work with your vendor to reroute claims through Availity. Register for electronic remittance advice (ERA) through Availity to receive payment confirmations.