Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Horizon BCBS NJMedicare Advantage · Prior Auth · Medicare · NJMedium impact

Improving Access: Braven Health℠ Does Not Require Referrals

Effective date
Not stated in the notice
Identified
Oct 10, 2026

Summary

This is historical material (source published 2023-01-01, discovered 2026-10-10). Braven Health Medicare Advantage plans in New Jersey eliminated referral requirements for 2022 and 2023. The policy stated that referrals were NOT required for Braven Medicare Choice (PPO), Braven Medicare Freedom (PPO), and Braven Medicare Plus (HMO). Billing teams should verify current applicability, as this guidance pertains to plan years that have elapsed.

Get alerts when payers change rules like this one

We check Horizon BCBS NJ and other payers every day and email you when a change matches your specialty and state.

Get Horizon BCBS NJ alertsPolicy Monitoring is free. No card required.

What to do

Action · 5 steps
01Already elapsed (2022–2023 plan years).
02The source does not state a specific effective date; it documents referral policy for plans no longer in effect as of the analysis date (2026-10-10).
03Billing team should verify whether Braven Health plans currently offered in New Jersey retain the no-referral requirement and confirm applicability to current members.
04Do not treat this as a current mandate.
05If the practice bills Braven plans, consult current Horizon Blue provider updates or the plan's current referral policy for 2026.

Original notice

Improving Access: Braven Health℠ Does Not Require Referrals
horizonblue.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Horizon BCBS NJ policiesNJ policy changes

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account