Back to dashboard
All PlansDocumentationMedium impact

PAP229 - Medical Records - Added Part 2 SUD Outline

Blue Cross of Idaho·ID · Psychiatry, Family Medicine, Internal Medicine +2 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Blue Cross of Idaho added new requirements for Part 2 Substance Use Disorder (SUD) records. Providers treating SUD patients must now obtain patient consent before submitting claims containing Part 2 records and include specific notification statements with submissions.

Action Required

Action needed
Immediately: Providers treating substance use disorders must establish workflow to obtain patient consent before submitting any claims containing Part 2 SUD records. Include required notification statement that information is subject to Part 2 Rule and copy of patient consent with all submissions. Billing team must verify consent documentation exists before processing SUD-related claims to avoid denials.

Affected Billing Codes

99417
99418
99354
99355
99356
99357
99358
99359
99415
99416