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ExchangeReimbursementMedium impact

PAP638 - Contracting Provider Reimbursement for Tailored Network Qualified Health Plans and Connected Care Plans - Removed Kootenai Care Network, product termed December 31, 2025.

Blue Cross of Idaho·ID·Reimbursement
Effective date
Dec 31, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross of Idaho removed Kootenai Care Network from their tailored network options for Qualified Health Plans and Connected Care Plans, with the product terminating December 31, 2025. This affects provider reimbursement arrangements for providers who were contracted through this network.

Action Required

Action needed
Before December 31, 2025: Billing team must identify any providers contracted through Kootenai Care Network for Blue Cross of Idaho Qualified Health Plans and Connected Care Plans. Contact Blue Cross of Idaho Provider Relations to determine alternative network arrangements or direct contracting options. Update billing system to reflect new reimbursement terms once alternative arrangements are established.