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?

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

Quarterly pharmacy formulary change notice effective August 1, 2021

Formulary changes reviewed and approved at our 1st quarter 2021, pharmacy and therapeutics committee meeting.

 

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

 

In Pursuit of Racial Equity: Deconstructing Bias

Please join us on June 9th to hear from a diverse panel of experienced professionals about racial equity and implicit bias.

Specialty Pharmacy Prior Authorization Retraction Notice

Notification that effective May 1, 2021 specific codes would be included in our prior authorization review process

 

Infusion Step Therapy Retraction Notice

Notification that effective May 1, 2021 specific codes would be included in our step therapy review process.

 
 
 

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.