Removal of Precertification for Inpatient Psychiatric and Substance Abuse Hospital Admissions for BCBSND Members
Issue: #404 NOV2018
Beginning January 1, 2019, Blue Cross Blue Shield of North Dakota (BCBSND) will not require precertification for inpatient psychiatric and substance abuse hospital admissions for BCBSND participating providers. BCBSND members who are admitted prior to January 1, 2019 will continue the precertification requirement through the member’s discharge. Please note, this does not apply to the Federal Employee Program (FEP).
Precertification will continue to be required for inpatient hospital admissions to health care providers who are not participating with BCBSND.