17 October 2011

BCBS of KC Announces Reduction in Fee Schedule


Blue Cross Blue Shield of Kansas City recently announced that effective November 1, 2011, they will be reducing the fee schedule for doctorate and masters level clinicians in several of their PPO networks.
These include:

  • Preferred Care (PC)
  • Preferred Care Blue (PCB)
  • Blue Access
  • Freedom Network
  • Freedom Network Select

The change impacts in-network behavioral health providers in independent practice including psychologists. The rationale provided for the decrease was to be more consistent with other rates in the market. The decrease varies and is approximately 20-30% depending upon the CPT code.  In an attempt to better serve our members, we are trying to determine who in our membership will be impacted by this drastic reduction.  We are working with APA on this matter to determine how to best address this matter. The bigger concern as always is that when one insurance company lowers their rates, other companies will follow suit in the near future. If you are being impacted by this change please contact our Executive Director Ellen at esmclean@gmail.com.

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