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Resources for Health Care Providers

WebResources for Health Care Providers. Blue Cross Blue Shield of Michigan and Blue Care Network

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URL: https://providerinfo.bcbsm.com/

Behavioral health providers: How to bill prolonged services

WebFor prolonged behavioral health services: For Blue Cross and BCN commercial members, use HCPCS code G2212 in place of procedure codes *99354 and …

Category:  Health Go Health

Landmark Health program expands to Medicare Advantage …

WebCurrently, the program is available to a select group of Medicare Plus Blue and BCN Advantage members. Beginning July 1, 2022, we’re expanding the program to …

Category:  Health Go Health

More Medicare Advantage members to become eligible for …

WebStarting Jan. 1, 2023, Blue Cross Blue Shield of Michigan and Blue Care Network will expand the high-intensity, in-home care program provided by Landmark …

Category:  Health Go Health

Availity® administrators: Set up Health e-Blue tools within …

WebAfter registering your organization for Availity, your Availity administrator must complete the following three tasks. This document contains step-by-step …

Category:  Health Go Health

Blue Cross Behavioral Health to reinstate requirements; …

WebStarting Jan. 9, 2024, providers can submit requests for prior authorization and concurrent reviews to Blue Cross Behavioral Health: Through the provider portal. By phone. This …

Category:  Health Go Health

CareCentrix® home health care: Improved processes for prior

WebTitle: CareCentrix® home health care: Improved processes for prior authorization requests for Medicare Plus Blue Author: Blue Cross Blue Shield of …

Category:  Health Go Health

Updated: Two changes for the services managed by Blue …

Web2024. We’re making two important changes related to the services that Blue Cross Behavioral HealthSM will manage for dates of service on or after Jan. 1, 2024. …

Category:  Health Go Health

Guidelines for ABA interventions via telemedicine (ABA and …

WebEffective Nov. 1, 2021, this service is payable when delivered via telemedicine on an ongoing basis, rather than as a temporary measure. This document offers guidance in …

Category:  Medicine Go Health

Provider Secured Services, including web-DENIS, end date …

WebBlue Cross Blue Shield of Michigan and Blue Care Network are extending the original June 21, 2022, retirement date for core functions within Provider Secured …

Category:  Health Go Health

Explanation of lifestyle modification for weight loss drugs

WebExamples of lifestyle modification modalities and programs, include, but are not limited to: • Recent food diaries reviewed by the member’s provider. • Recent …

Category:  Food Go Health

Starting Oct. 1, 2023, we’ll change prior authorization criteria …

WebStarting Oct. 1, 2023, Blue Cross Blue Shield of Michigan and Blue Care Network will change the prior authorization approval criteria for our commercial PPO and …

Category:  Health Go Health

Additional fee schedules added to our provider portal

WebBlue Cross Blue Shield of Michigan recently added these additional fee schedules to our provider portal, as of 09-26-2023. Facility. Hospice Rate Schedule …

Category:  Health Go Health

BCN to use updated InterQual® ABA criteria starting March 1

WebImportant: The severity is categorized as mild, moderate, or severe, and general guidelines for these severity categories can be found in the InterQual criteria …

Category:  Health Go Health

NaviHealth to change its name to Home & Community Care

WebOn Jan. 1, 2024, naviHealth, Inc. will change its name to Home & Community Care. This is a change only to the naviHealth name. Home & Community …

Category:  Health Go Health

AIM to change its name to Carelon

WebIn March 2023, AIM Specialty Health® will change its name to Carelon Medical Benefits Management. The name change will not affect how they work with providers. For …

Category:  Medical Go Health

We’ll use updated 2023 InterQual criteria starting Feb. 1

WebOn Feb. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network will start using updated 2023 InterQual® criteria to make determinations on prior …

Category:  Health Go Health

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