Medicare AdvantageAdministrativeLow impact
MAPAP206 - Primary Care Physicians (PCPs) - Added additional specialty types for PCP List.
Blue Cross of Idaho·ID · Family Medicine, Internal Medicine, General Practice +3 more·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho has expanded the list of specialty types that can serve as Primary Care Physicians (PCPs) for Medicare Advantage plans. This administrative update adds preventive medicine specialists and clarifies that nurse midwives, licensed nurse practitioners, and physician assistants can serve as PCPs when sponsored by qualifying specialties.
Action Required
No immediate action required for billing team. This is an administrative policy clarification that expands PCP designation options but does not change billing procedures, codes, or prior authorization requirements.