Resources

Blue Cross and Blue Shield of Alabama network providers are required to obtain precertification for oncology chemotherapy drugs and supporting agents, regardless of cancer type, that are listed on the Provider-Administered Precertification Drug List.  Please note that the list is updated quarterly. Precertification can be initiated through ProviderAccess Eligibility and Benefits. It is provided through our partnership with Carelon. See “Cancer Treatment Plan Requests and Provider-Administered Drug Precertification.” This online precertification process is the same process used for submitting cancer treatment plans.

Medical Policies

Provider-Administered Oncology Drug Policies

Provider-Administered Drug Policies (Excluding Oncology)

Resources

Individual Pathways Worksheets - These worksheets can help you gather the patient clinical information you’ll need to enter your order request.

Cancer Treatment Pathways Clinical Detail 

Oncology Select Program - View this webpage for information about the Oncology Select Program, which offers enhanced reimbursement for certain cancer treatment pathways.

Carelon is an independent company that partners with leading health plans to promote patient care that is appropriate, safe and affordable.