All PlansAdministrativeMedium impact
PAP308 - Primary Care Providers (PCPs) - Updated to reflect a telehealth only provider cannot be a PCP
Blue Cross of Idaho·ID · Family Medicine, Internal Medicine, General Practice +1 more·Medical Policy
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their Primary Care Provider (PCP) policy to clarify that telehealth-only providers cannot serve as PCPs. PCPs must now provide periodic in-person services in a clinical setting to be eligible for PCP designation.
Action Required
By July 1, 2025: Provider Relations team must review current PCP designations and identify any telehealth-only providers incorrectly designated as PCPs. Remove telehealth-only providers from PCP eligibility lists and notify affected members they must select a new PCP who provides in-person services. Update provider enrollment forms to include verification of in-person service capability.