Final Reminder: Important changes to Blue Cross NC prior authorization drug requests

This is a final reminder that 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 through any of the following methods:

• MHK (accessed via Blue e) – Preferred
• CMM
• SureScripts

MHK has training resources available. SureScripts has provider education available.

Questions?

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

For MHK, during the implementation period, which ends on March 20, 2024, send an email to bcbsncprodsupport@mhk.com. After that date, providers can email the MHK Help Desk at HelpDesk@mhk.com.

For CMM, use the chat feature on their website, Cover My Meds, or call 866-452-5017.

For SureScripts, call their Customer Support line at 866-797-3239.