CommercialPrior AuthHigh impact
Reminder: COVID-19 changes to end, additional ones to take place
Blue Cross Blue Shield of Kansas·KS·Provider News
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Kansas is ending COVID-19 temporary policies effective January 1, 2022. Key changes include reinstating pre-certification requirements for all inpatient stays, reducing telehealth reimbursement from 100% to 100% of professional component (with 105% for behavioral health), and requiring members to pay their cost share for COVID-19 treatment.
Action Required
By January 1, 2022: Billing team must update systems to require pre-certification for all inpatient admissions including COVID-19 stays, long term acute care, and inpatient rehabilitation. Update telehealth billing to reflect new reimbursement rates - 100% of professional component for general telehealth and 105% for behavioral health telehealth services. Begin collecting patient cost sharing for COVID-19 treatment (testing and vaccines remain fully covered). Failure to obtain pre-certification will result in claim denials.