All Other Providers

Last Updated on October 12, 2021
Please refer to this section for helpful information about treating Commercial, Medicare Advantage and BlueCare Plus members during the COVID-19 state of emergency.

A Message from Todd Ray


Dear Valued Provider,

With the recent increase in COVID-19 cases, it’s more important than ever that we work together to provide the best care possible for our members. This includes encouraging them to get vaccinated.

Last month, following a three-month application review, the Pfizer-BioNTech vaccine received full approval from the Food & Drug Administration for those age 16 and older. The vaccine met rigorous standards for safety, effectiveness and manufacturing that the FDA requires for designation as an approved product. You can learn more about this from Dr. Andrea Willis, our senior VP/chief medical officer, in a recent article in The Tennessean.

We’re doing our best to help you stay informed by updating this site regularly. You can also find more information on state and federal guidelines by visiting the State of Tennessee and CDC COVID-19 websites. You’ll find the links below.

Thank you for your dedication and the care you’ve shown our members during this challenging time.

Sincerely,

Todd Ray, Senior Vice President, Corporate Provider Network Management and Medicare Products

We’d like to point you toward helpful resources, where you can get daily updates about providing treatment during the COVID-19 emergency:

  • Read more about the State of Tennessee’s response to the disease on the Tennessee Department of Health website.
  • Click here for the latest information from the Centers for Disease Control and Prevention (CDC).

For more general information about Coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945.

We’re Here To Support You

During surges in COVID-19, we took significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. As cases of COVID-19 rise in our state, we’re reviewing our policies and may adjust them as needed to make it easier for providers to deliver necessary care. Steps we’ve taken to date include:

  • Effective Aug. 23, 2021, we’re waiving prior authorization requirements for all levels of post-acute care (skilled nursing facilities, acute inpatient rehabilitation facilities and long-term acute care hospitals). We’ll still perform continued stay reviews once our members are in those post-acute settings. This waiver is in effect through Oct. 31, 2021, at which time we’ll reevaluate the policy. As before, we request notification within 24 hours, or one business day, following any related facility transfers in order for our clinical staff to assist our members and their families, and to meet our contractual obligations with plan sponsors.
  • Accepting post-admission notification over prior authorizations
  • Expediting credentialing and enrollment
  • Extending re-credentialing periods
  • Relaxing some rate codes based on intensity of service

We’ll keep you updated on changes as they occur.

COVID-19 Emergency Disclaimer

During the COVID-19 emergency or until further notice, we’ll continue to follow the COVID-19-related policies and processes listed in this section of the BCBSTupdates website. Many of our decisions are guided by federal and state mandates, which occur frequently, so we encourage you to refer to this site daily. Should we decide to make a non-mandated change to a policy or process listed in the provider Q&As during the COVID-19 emergency, we’ll post the update 30 days in advance on this site.


For Commercial, Medicare Advantage and BlueCare Plus lines of business unless stated otherwise.


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