- CareFirst CHPMD Providers: Starting 11/2, you can submit medication prior authorizations electronically through the CareFirst Provider Portal. For more information watch this recorded webinar or access the step-by-step guide.
- All Providers: Billing NPI Reminder:The billing NPI submitted on claims must match the billing NPI on file with CareFirst,NPPES and MPRIME(CareFirst CHPMD). If your billing NPI is not enrolled with CareFirst, add it here .
Change Healthcare notifying individuals of data breach. Learn more here.
Prior Authorization Requirements Update for Durable Medical Equipment and Advanced Diagnostic Imaging
Effective January 1, 2027, CareFirst BlueCross BlueShield is updating prior authorization requirements for durable medical equipment and advanced diagnostic imaging services provided to CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD) members. These changes are intended to clarify when prior authorization is required and support timely, appropriate care.
Read the full update