CommercialPrior AuthHigh impact
New prescription prior authorization process
Blue Cross Blue Shield of Kansas·KS·Prior Authorization
Effective date
Aug 15, 2025
We identified it
Jun 19, 2026
Summary
BCBS Kansas is changing their prescription prior authorization process for medical benefit drugs administered in physician offices, patient homes, and outpatient facilities. Providers must switch from CoverMyMeds/fax to Prime Therapeutics' GatewayPA.com system or phone line for prior authorizations starting August 15, 2025.
Action Required
By August 7, 2025: Begin requesting prior authorizations through Prime Therapeutics at GatewayPA.com or 800-424-1713 for medical benefit drugs administered in physician offices (POS 11), patient homes (POS 12), outpatient facilities (POS 19, 22), and inpatient CAR-T (POS 21). Stop using CoverMyMeds/fax for these drugs. Register for training sessions by July 23, 2025 to learn new procedures. Continue using CoverMyMeds/fax only for self-administered patient drugs.