Important Changes to Blue Cross and Blue Shield of North Carolina Prior Authorization Requests, Effective January 25, 2024

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is enhancing our ability to accept prior authorization requests electronically.

What does this mean for providers?

For medical drug requests:

• Effective January 25, 2024, providers should submit all medical drug requests through the MHK portal (accessed via Blue e) instead of through CoverMyMeds (CMM).
• CoverMyMeds (CMM) will stop accepting medical drug requests for Blue Cross NC members on February 20, 2024.

Pharmacy drug requests are now more enhanced and can be submitted via the following methods:

• MHK (accessed via Blue e) – preferred method
• CMM
• Surescripts

You can check out the MHK training resource center and the Surescripts partner education program for additional help.

Questions?

If you have questions about this change, call 800-214-4844 for the Blue Cross NC Provider Blue Line.

To contact MHK, send an email to helpdesk@mhk.com.

For CMM, use the chat feature on the CoverMyMeds website or call 866-452-5017.

For Surescripts, call the customer support line at 866-797-3239.