CommercialPrior AuthHigh impact
Select Services No Longer Require Case Management
Blue Cross Blue Shield of Wyoming·WY · Physical Therapy, Occupational Therapy, Home Health +1 more·Prior Authorization
Effective date
Jan 1, 2019
We identified it
Jun 19, 2026
Summary
BCBS Wyoming has eliminated prior authorization requirements for seven service categories including physical therapy, occupational therapy, speech therapy, home health care, and others. These services can now be provided without case management approval, streamlining the authorization process.
Action Required
Immediately: Update billing system to remove prior authorization requirements for Bili Lights, Enteral Feeding, Home Health Care, Outpatient Hospice, Physical Therapy, Occupational Therapy, and Speech Therapy services. Train billing staff that these services no longer require case management approval before billing. Continue to verify member benefits using Availity.com for each patient.