Summary
Blue Cross Blue Shield of Montana has updated seven coding and compensation policies effective April 1-15, 2026, covering preventive services, professional provider and hospital outpatient diagnostics, home health, dental with medical benefits, non-physician services, hospice care, and codes with no other standards. Providers must access the updated policies through Availity Essentials Plan Documents Viewer to understand new payment rules and methodologies.
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What to do
Action · 2 steps
01Before April 1, 2026: Billing team must access and review all seven updated coding and compensation policies in Availity Essentials through the Plan Documents Viewer application in Payer Spaces for Blue Cross and Blue Shield of Montana.
02Update billing procedures, payment expectations, and staff training materials based on changes to Preventive Services, Professional Provider and Hospital Outpatient DX&L, Home Health Reimbursement, Dental with Medical Benefits Reimbursement, Non Physician Reimbursement, Hospice Reimbursement, and Codes with No Other Standards policies.
Original notice
Coding and Compensation Policy Updates
bcbsmt.com · Always check the source before changing claims.