CommercialPrior AuthMedium impact
Prior Authorization Changes for Some Commercial and Government Program Members
BCBS Illinois·IL · Psychiatry, Neurology, Cardiology +2 more·Prior Authorization
Effective date
Apr 1, 2026
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of Illinois is removing prior authorization requirements for psychological/neuropsychological testing codes for commercial members and replacing revascularization codes for Medicare Advantage members effective April 1, 2026.
Action Required
Before April 1, 2026: Billing team must update prior authorization workflows to remove requirements for psychological/neuropsychological testing codes for BCBSIL commercial members. For Medicare Advantage members, verify new revascularization codes require prior authorization through EviCore. Always check eligibility and benefits through Availity before rendering services to confirm current prior auth requirements.