CommercialPrior AuthMedium impact
Prior Authorization Changes for Some Commercial and Government Program Members, Effective April 1, 2026
BCBS Montana·MT · Psychiatry, Neurology, Cardiology +1 more·Prior Authorization
Effective date
Apr 1, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Montana is updating prior authorization requirements effective April 1, 2026. For commercial members, psychological/neuropsychological testing codes will no longer require prior auth through BCBSMT. For Medicare Advantage members, revascularization codes will be transferred to different review entities.
Action Required
By April 1, 2026: Billing team must update prior authorization workflows to remove psychological/neuropsychological testing codes from BCBSMT prior auth requirements for commercial members. Update Medicare Advantage revascularization code prior auth processes to reflect new review entities (BCBSMT and EviCore). Always verify current prior auth requirements through Availity Essentials before rendering services to confirm which vendor handles utilization management.