Medicare AdvantageAdministrativeLow impact
Discuss Preventive Care with Members
BCBS Montana·MT·General
Effective date
Jul 16, 2026
We identified it
Jul 17, 2026
Summary
This is an informational policy from Blue Cross Blue Shield of Montana encouraging providers to promote preventive care services to members and document screenings to close care gaps. The policy emphasizes tracking HEDIS measures for preventive care access and provides actionable tips for improving member engagement in preventive services, including flexible scheduling, outreach to members, and eligibility verification before appointments.
Action Required
No immediate billing or operational changes required. This is educational guidance, not a new billing requirement. Providers should review the preventive care guidelines referenced in the policy to ensure compliance with evidence-based recommendations. Front desk and clinical staff should be made aware of the tips for closing care gaps (flexible scheduling, member outreach, documentation of screenings with dates and results). Ensure eligibility is verified using Availity Essentials before scheduled appointments. No changes to encounter forms, billing software, or coding are mandated by this policy.