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Provider Types and Open/Closed Network information
Regence BlueShield of Idaho evaluates all networks on a quarterly basis to ensure that members have access to an adequate number of providers.
Learn about our credentialing process.
Dentists
Covered Providers |
Participating Dental Network |
Caring Foundation for Children Network |
|
| |
Open |
Closed |
Open |
Closed |
Exceptions |
| Dentist (DDS/DMD) |
√
|
|
√ |
|
|
Physicians and other health care professionals
Covered Providers |
Participating Network |
Regence PPO Network |
Regence MedAdvantage |
Exceptions |
| |
Open |
Closed |
Open |
Closed |
Open |
Closed |
|
| Acupuncturist (LAC)/East Asian Medicine Practitioner
(EAMP) |
√ |
|
√ |
|
|
not eligible |
|
| Advanced Certified Alcohol and Drug Counselor (ACADC) |
√ |
|
√ |
|
|
not eligible |
|
| Advanced Practice Professional Nurse (APPN) |
- Nurse Practitioner (NP)
|
- Certified Nurse Midwife (CNM)
|
- Clinical Nurse Specialist (CNS)
|
| - Certified Registered Nurse Anesthetist (CRNA) |
|
|
|
|
|
|
|
|
| Ambulatory Surgery Center (ASC) |
√ |
|
√ |
|
√ |
|
|
| Audiologist (AuD) |
√ |
|
√ |
|
√ |
|
|
| Birthing Centers |
|
not eligible |
|
not eligible |
|
not eligible |
|
| Certified Alcohol and Drug Counselor (CADC) |
√ |
|
√ |
|
|
X |
|
| Certified Nutritionalist (CN) |
√ |
|
√ |
|
√ |
|
Applicable to Asotin and Garfield
counties only |
| Chiropractic Physician (DC) |
√ |
|
√ |
|
√ |
|
|
Covered Providers |
Participating Network |
Regence PPO Network |
Regence MedAdvantage |
Exceptions |
| |
Open |
Closed |
Open |
Closed |
Open |
Closed |
|
| Dialysis Facility |
√ |
|
√ |
|
√ |
|
|
| Dietitian (RD) |
√ |
|
√ |
|
√ |
|
|
| Durable Medical Equipment (DME) |
√ |
|
√ |
|
√ |
|
|
| Home Health |
√ |
|
√ |
|
√ |
|
|
| Home Infusion Therapy |
√ |
|
√ |
|
√ |
|
|
| Hospice |
√ |
|
√ |
|
|
not eligible |
|
| Hospital |
√ |
|
√ |
|
√ |
|
|
| Licensed Clinical Professional Counselor (LCPC) |
√ |
|
√ |
|
|
not eligible |
|
| Licensed Clinical Social Worker (LSCW) |
√ |
|
√ |
|
√ |
|
|
| Licensed Masters Social Worker - Independent Practice (LMSW-I) |
√ |
|
√ |
|
√ |
|
|
| Licensed Marriage and Family Therapist (LMFT) |
√ |
|
√ |
|
|
not eligible |
|
| Licensed Mental Health Counselor (LMHC) |
√ |
|
√ |
|
|
not eligible |
|
| Licensed Midwives |
|
not eligible |
|
not eligible |
|
not eligible |
|
| Licensed Professional Counselor (LPC) |
√ |
|
√ |
|
|
not eligible |
|
Covered Providers |
Participating Network |
Regence PPO Network |
Regence MedAdvantage |
Exceptions |
| |
Open |
Closed |
Open |
Closed |
Open |
Closed |
|
| Occupational Therapist (OT) |
√ |
|
√ |
|
√ |
|
|
| Optometrist (OD) |
√ |
|
√ |
|
√ |
|
|
| Orthotics & Prosthetics |
√ |
|
√ |
|
√ |
|
|
| Physician (MD/DO) |
√ |
|
√ |
|
√ |
|
|
| Physician Assistant (PA) |
√ |
|
√ |
|
√ |
|
This provider type requires supervision |
| Podiatrist (DPM) |
√ |
|
√ |
|
√ |
|
|
| Psychologist (PhD) |
√ |
|
√ |
|
√ |
|
|
| Physical Therapist (PT) |
√ |
|
√ |
|
√ |
|
|
| Skilled Nursing Facility (SNF) |
√ |
|
√ |
|
√ |
|
|
| Speech Therapist (SLP) |
√ |
|
√ |
|
√ |
|
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Unlicensed professionals are reimbursed for covered services only if recognized in Regence policies, as determined by Regence.
Disclaimer: Member policy determines what services are medically necessary.
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