CommercialPrior AuthMedium impact
Updated Worksheet for Prior Authorization
Blue Cross Blue Shield of Vermont·VT · Psychiatry, Neurology, Pediatrics +2 more·Prior Authorization
We identified it
Aug 4, 2026
Summary
Blue Cross Blue Shield Vermont has released an updated Prior Authorization Worksheet for Psychological/Neuropsychological Testing. This worksheet is not mandatory but is designed to standardize clinical information collection for prior authorization requests. The form requires providers to document medical necessity, clinical evaluation basis, specific testing questions, treatment goals, and relevant clinical history (medication effects, substance use, ADHD rating scales, educational vs. clinical purpose).
Action Required
Immediately: Providers and billing staff must obtain and use the updated BCBSVT Psychological/Neuropsychological Testing worksheet for all prior authorization requests to this payer. Although completion is not mandatory, submitting the completed worksheet will expedite BCBSVT's review and approval process. Update provider documentation templates and prior auth submission procedures to reference this form. Ensure front desk/authorization staff are aware that psychological and neuropsychological testing requires prior approval from BCBSVT before services are rendered. Store the worksheet (available at bluecrossvt.org) in a shared location accessible to billing, clinical staff, and providers who order these services.