All PlansAdministrativeMedium impact
HCBSPAP234 - Responsibilities of HCBS Provider to Provide and Coordinate Care - Clarification added to review team
Blue Cross of Idaho·ID·Medical Policy
Effective date
Apr 1, 2022
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their HCBS (Home and Community Based Services) provider policy to clarify responsibilities for care coordination and communication with the review team. The policy emphasizes that HCBS providers must immediately notify care coordinators when member needs change and submit required documentation for care plan reviews.
Action Required
Immediately: HCBS providers must establish procedures to notify Blue Cross of Idaho care coordinators or utilization management team immediately when member needs change. Update workflows to ensure all changes in member's medical, cognitive, social and activities of daily living status are communicated. Prepare to submit supporting documentation when requested by care coordinators for care plan modifications.