MedicaidDocumentationMedium impact
HCBSPAP302 - Notice of Significant Change Requirements - Added language further defining required documents and updates to form submission
Blue Cross of Idaho·ID·Medical Policy
We identified it
Jun 19, 2026
Summary
Blue Cross of Idaho updated their HCBS policy (HCBSPAP302) to add more detailed language defining required documents and form submission processes for Home and Community Based Services significant change requests. The policy clarifies that changes must occur in two or more functional areas and strengthens documentation requirements including mandatory provider visits except in emergencies.
Action Required
Immediately: HCBS providers must ensure all significant change requests include documentation of changes in two or more UAI areas (not just one), conduct in-person participant visits before submitting requests (except emergencies), and obtain required signatures from Provider Supervising personnel, Provider RN, and participant/representative. Update internal workflows to require additional supporting documentation (progress notes, visit notes, physical exam notes) with all modification requests. Access updated forms at providers.bcidaho.com under Forms & Resources > Medicaid Medicare Coordinated Plan.