The services listed below may require precertification for your Blue Advantage patients.

If you are a Blue Cross and Blue Shield of Mississippi provider, view our Pre-Service Review Guide for help with this process.

For all other providers, precertification requests can be initiated through "Pre-Service Review for Out-of-Area Members" through your local Plan portal.

• Advanced Imaging
• View the Carelon Advanced Imaging Precertification Training Guide
• Behavioral Health
• Genetic Testing
• Visit the Carelon Genetic Testing Webpage
• View the Carelon Genetic Testing Precertification Training Guide
• Inpatient Hospital Admission
• Inpatient Rehabilitation
• Long-Term Acute Care
• Occupational Therapy
• Physical Therapy
• Provider-Administered Drugs (Effective 8/1/2023)
• View the Blue Advantage Provider-Administered Drug Precertification Webpage
• View the Blue Advantage Provider-Administered Drug Precertification Training  Guide
• Skilled Nursing Facility
• Speech Therapy

Note: Precertification requirements are subject to change at any time, so it is important to check eligibility requirements for the specific date of service for the procedure or equipment.