Policy Updates Prior AuthorizationMedicare AdvantageApril 11, 2025

Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute Solutions

As of February 14, 2025, Carelon Post Acute Solutions reviews preapproval requests to admit our Medicare group retiree members for a concurrent stay in a skilled nursing facility, inpatient acute rehab facility, or long‑term acute care hospital. These requests should not be submitted through Availity Essentials.

To submit a preapproval request, upload clinical information, or check the status of a request, go to http://portal.mynexuscare.com. If you cannot access the website, call the Provider Call Center at 844‑411‑9622 from 7 a.m. to 7 p.m. CT, Monday through Friday.

Anthem BC Health Insurance Company is the trade name of Anthem Insurance Companies, Inc. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross, Anthem Blue Cross Life and Health Insurance Company, and Anthem BC Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

CABC-CR-079446-25-CPN78942