CommercialAdministrativeMedium impact
PAP247 - Covered Providers - Service area rules added for contracting providers. Added geriatrics to PCP list and billing statement to massage therapists.
Blue Cross of Idaho·ID · Geriatrics, Family Medicine, General Practice +4 more·Reimbursement
Effective date
Dec 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their covered provider policy to add service area rules for contracting providers, expand Primary Care Provider (PCP) designation to include geriatrics specialty, and clarify billing statement requirements for massage therapists under select benefit plans.
Action Required
Immediately: Update provider credentialing records to recognize geriatrics as an eligible PCP specialty for physician assistants and nurse practitioners. Verify massage therapist billing procedures comply with direct billing requirements for select benefit plans only. Review contracting provider service area compliance requirements.