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Clarification on NICU level of care authorization program
December 12, 2023

This article is for managers of intake, utilization review, and case management at acute care hospitals

Thank you for submitting your requests for NICU level of care authorizations for premature and medically complex infants to ProgenyHealth. Please use the chart below to determine when to submit a request to ProgenyHealth.

If the baby is Then
Discharged at the same time as the mother No submission is required
Staying longer than the mother (Level 1)

Submit inpatient notification to Blue Cross:

  • Phone: 1-800-327-6716
  • Fax: 1-866-577-9678

Submit surgical or outpatient services notification to Blue Cross:

  • Fax: 1-888-282-0780
  • Medically complex and/or premature and requires Level 2 and above care
  • Transferred to another facility’s NICU
Submit your request to ProgenyHealth:
  • Phone: 1-888-832-2006
  • Fax: 1-866-303-5749

To read more about this program, which we offer to our members at no additional cost, log in and go to News. Scroll down to the News Alert dated May 4, 2023: "Progeny will support premature and medically complex infants."