CommercialPrior AuthMedium impact
Placental and Umbilical Cord Blood as a Source of Stem Cells
Blue Cross & Blue Shield of Mississippi·MS · Hematology, Oncology, OB-GYN·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield of Mississippi updated their policy on placental and umbilical cord blood stem cell transplantation, requiring prior authorization through case management for all covered transplant procedures and evaluations. The policy clarifies that cord blood stem cell transplantation is medically necessary only for appropriate allogeneic transplant indications, while prophylactic collection and storage is considered not medically necessary.
Action Required
Immediately: Billing team must ensure prior authorization is obtained through BCBS Mississippi case management before scheduling any cord blood stem cell transplant procedures or evaluations. Update system to flag these procedures for prior auth requirements. Claims will be denied without proper authorization.