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Medicare AdvantageAdministrativeMedium impact

MAPAP310 - Medicare Advantage Referral Requirements - Included Part B administration services and dieticians under services not requiring a referral. Added coagulation clinics and infusion centers under Hidden Provider examples.

Blue Cross of Idaho·ID·Medical Policy
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross of Idaho Medicare Advantage updated referral requirements to include Part B administration services and dietician services as not requiring referrals. Additionally, coagulation clinics and infusion centers are now classified as 'hidden providers' that don't require referrals for their services.

Action Required

Action needed
Immediately: Update billing workflows to remove referral requirements for Part B administration services and dietician services for Blue Cross of Idaho Medicare Advantage members. Train front desk staff that coagulation clinics and infusion centers no longer need referral verification before patient visits. Update referral tracking systems to reflect these exemptions.