Medicare Advantage (MA) Auto Approval for SNF Admissions

Effective Jan. 1, 2025, Blue Cross and Blue Shield of Nebraska will auto approve for the first seven days in a Skilled Nursing Facility (SNF) for all MA PAR providers. Notification of Admission is required within 72 hours of admission. Concurrent authorization review is required to certify additional days, thus allowing us to issue the Notice of Medicare Non-Coverage timely to the facility and the member.  

If a SNF admission goes beyond seven days, authorization will be required on day eight and after.