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CommercialPrior AuthMedium impact

Prior Authorization Changes for Some Commercial and Government Program Members, Effective April 1, 2026

BCBS Oklahoma·OK · Psychiatry, Neurology, Cardiology +1 more·Prior Authorization
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross Blue Shield of Oklahoma is modifying prior authorization requirements effective April 1, 2026. For commercial members, psychological/neuropsychological testing codes will no longer require prior authorization through BCBSOK. For Medicare Advantage members, revascularization codes will be transferred from BCBSOK review to EviCore healthcare review.

Action Required

Action needed
By April 1, 2026: Billing team must update prior authorization workflows for BCBSOK members. Remove prior authorization requirements for psychological/neuropsychological testing codes for commercial members. Update Medicare Advantage revascularization procedures to route prior authorization requests to EviCore healthcare instead of BCBSOK. Always verify eligibility and benefits through Availity Essentials before rendering services to confirm current prior authorization requirements and applicable utilization management vendors.