All PlansAdministrativeMedium impact
PAP286 - Access and Availability Requirements for Primary Care Providers - 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 designated PCPs. PCPs must now provide periodic in-person services in a clinical setting to maintain their PCP status.
Action Required
By July 1, 2025: Provider relations team must review current PCP designations and identify any telehealth-only providers. Remove telehealth-only providers from PCP status in credentialing systems and member directories. Notify affected providers they must establish in-person clinical services to maintain PCP designation.