Policy Updates Prior AuthorizationCommercialMarch 28, 2025

Streamline your workflow: Submit BH authorizations through Availity Essentials

Beginning May 9, save time and speed up care by submitting federal employee program (FEP) behavioral health (BH) preapprovals through Availity Essentials at https://Availity.com.

Accessing Availity Essentials for preapproval is easy

Ask your organization’s Availity Essentials administrator to ensure you have the Authorization role assignment so you can access the application. Then, log in at https://Availity.com, select Authorizations and Referrals, and navigate to the Patient Registration tab. If you do not already have an Availity Essentials account, you can create one at https://Availity.com.

In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: April 2025 Provider Newsletter