The State BlueCare POE, State BlueCare POE Plus*, State BlueCare POS, State Preferred PPO and State Out-of-Area health plans continue to be available. Referrals for specialist care are also required for the POE Plus plan for professional providers only. Providers will continue to use the PCP's NPI in Box 17A on the CMS 1500 claim form.
Providers should submit a Provider Enrollment Form (PEF) using Availity and declare the need for an expedited enrollment. You can find information about enrollment on our provider website. ... Medicare Advantage and BlueCare Plus: Outpatient elective procedures — 180 days;