CommercialAdministrativeMedium impact
New Year Reminders
CareFirst BlueCross BlueShield·MD·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield issued New Year reminders with multiple updates including new 2023 ASC approved codes, changes to Maryland hospital utilization management requiring only one day in initial admission requests, and observation services limited to 72 hours effective January 1, 2023. Medical record retrieval requests from 2022 are being followed up by vendors.
Action Required
Immediately: Maryland facilities must update admission request protocols to include only one day for initial inpatient emergency admissions for Commercial and FEP members. Review and implement 2023 ASC approved codes available on CareFirst website under Medical heading. Ensure observation services do not exceed 72 hours before admission or discharge decisions. Respond to any outstanding medical record retrieval requests from chart retrieval vendors if contacted.