All PlansReimbursementHigh impact
Reimbursement Policy Updates
BCBS Montana·MT · Psychiatry·Reimbursement
Effective date
Jan 1, 2026
We identified it
Jun 18, 2026
Summary
Blue Cross Blue Shield of Montana updated 22 reimbursement policies affecting laboratory testing, behavioral health services, telehealth, and surgical procedures. These updates include changes to compensation rules for various diagnostic tests, Applied Behavioral Analysis for autism, telehealth services, and assistant surgery procedures with effective dates ranging from January 1 to May 20, 2026.
Action Required
Before May 20, 2026: Billing team must access the revised policies through Availity Essentials Plan Documents Viewer for Blue Cross Blue Shield of Montana to review specific coding and compensation changes for all 22 updated policies. Update billing software rules and fee schedules according to each policy's effective date (ranging from Jan 1 to May 20, 2026). Verify coverage and reimbursement rules for laboratory tests, autism ABA services, telehealth visits, and assistant surgery procedures to prevent claim denials.