CommercialPrior AuthMedium impact
PAP707 - Federal Employee Precertification and Prior Approval - Information added regarding new prior authorization requirements. Added USPS.
Blue Cross of Idaho·ID·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated PAP707 to add U.S. Postal Service (USPS) to the Federal Employee Program prior authorization requirements. USPS Standard and Basic Option contracts now require prior approval for the same extensive list of services as FEP contracts, including inpatient admissions, surgeries, genetic testing, and specialized treatments.
Action Required
Immediately: Billing team must update prior authorization workflows to include USPS Standard and Basic Option contracts alongside existing FEP contracts. Update billing system to flag USPS members for prior auth requirements matching FEP rules. Train staff to verify USPS member eligibility and obtain prior approvals for all listed services including inpatient admissions, orthopedic surgeries, genetic testing, and specialized procedures. Submit elective requests 14 days prior to service and expedited requests 72 hours prior.