Prior Authorization Reporting
Management of best-in-class care aligned with ensuring the medical necessity and medical appropriateness of healthcare services is an important responsibility of Blue Cross & Blue Shield of Mississippi to ensure the sustainability of affordable healthcare coverage.
For example, one method used to manage healthcare costs is to review requests for select prescription drugs to determine whether the patient has the condition for which the Federal Drug Administration has approved use of the drug. A list of all healthcare services, including medications, for which these prior authorization reviews are performed has been available on our website since July 1, 2024, and can be found here.