Bluecross Blueshield of Western New York Home

Medicaid & CHP Providers

Welcome, providers!

Resources that help health care professionals do what they do best — care for our members.

At BlueCross BlueShield of Western New York (BlueCross BlueShield), we value you as a provider in our network. That is why we have designed the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

COVID-19 information

BlueCross BlueShield is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

Request authorizations
Submit claims
Confirm eligibility

Don’t have an Availity account?

Receive email from BlueCross BlueShield

BlueCross BlueShield is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Provider news

The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

 

Provider updates

Join us in talking about racism and its impact on health

At BlueCross BlueShield, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve.

Medical Specialty Pharmacy Announcement

BlueCross BlueShield is pleased to announce a drug delivery option that enhances medication accessibility to both members and providers. BlueCross BlueShield is contracted with CVS* Specialty as a medical specialty (MSP).

Quarterly pharmacy formulary change notice effective November 1, 2021

 BlueCross BlueShield of Western New York (BlueCross BlueShield) partners with Amerigroup companies to administer certain services to Medicaid Managed Care (MMC) and Child Health Plus (CHPlus) members.

Pre-Exposure Prophylaxis Awareness Week

October 25th-31st is PrEP Awareness Week in New York. Let's make everyone aware that PrEP can prevent HIV.

 

NYS DOH Single Statewide Medication Assisted Treatment (MAT) Pharmacy Notice effective October 1, 2021

Pharmacy Provider Notice of NYS DOH Single Statewide Medication Assisted Treatment (MAT) for Managed Medicaid Members

 

Tell us how we’re doing

Rate Our Performance. This information would assist the Network Relations Department in areas of success and improvement.

 

Featured resources

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in the New Baby, New LifeSM program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools and resources

Interested in becoming a provider in the BlueCross BlueShield network?

We look forward to working with you to provide quality service for our members.