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BCBS AFFILIATEMAPBM: Express Scripts

Blue Cross Blue Shield of Massachusetts Prior Authorization Guide

Submit prior authorization requests and appeal denials with BCBS Massachusetts. Phone numbers, fax numbers, appeal deadlines, step therapy override rights, and clinical documentation tips for MA providers.

Generate BCBS Massachusetts LMN →

Prior Authorization Contacts

PA PHONE
1-800-366-7778
PA FAX
1-888-282-0780
TURNAROUND
14 days standard, 72h expedited
TIMELY FILING
60 days
APPEALS MAILING ADDRESS
BCBS Massachusetts, Attn: Member Appeals, PO Box 986046, Boston, MA 02298

Common Denial Reasons

  • Not meeting BCBS-MA Medical Policy criteria
  • Step therapy required
  • Massachusetts Prescription Drug Cost Containment rules
  • Site of care requirement

Step Therapy Requirements & Override Rights

Massachusetts Chapter 255 of Acts 2012 and subsequent laws require health plans to follow clinical guidelines. BCBS MA generally requires TNF inhibitor trial before approving non-TNF biologics. MA has strong patient protection laws for step therapy overrides.

Tips for BCBS Massachusetts Submissions

  • 1. BCBS-MA has one of the most structured PA processes — follow Medical Policy to the letter
  • 2. Reference policy number exactly as listed in Medical Policy portal
  • 3. Submit via the Availity portal
  • 4. MA step therapy override requires insurer response within 72 hours

External Review Authority

If BCBS Massachusetts denies your final internal appeal, you have the right to request an external review through: Massachusetts Office of Patient Protection (OPP).

External review decisions are binding on the insurer.