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January 2018

Reminder: Physician assistants required to re-enroll with Blue Cross, BCN by Jan. 31

Physician assistants must re-enroll with Blue Cross Blue Shield of Michigan and Blue Care Network, including our Medicare Advantage programs, by Jan. 31, 2018. Physician assistant re-enrollments will be processed with an effective date of Feb. 1, 2018.

Current reimbursement arrangements will be terminated for dates of service after Jan. 31, 2018.

Please refer to the following documents for complete information:

Re-enrolling physician assistants must go to bcbsm.com/providers and click on the following links:

  • Enrollment and Changes
  • Provider Enrollment
  • Physicians and Professionals
  • Change an existing provider
  • Physician Assistant

The Required Documents Checklist indicates the additional information and documents required from the physician assistant.

The following required forms will appear:

  • Physician Assistant Re-Enrollment Form
  • Physician Assistant/Physician Practice Agreement Attestation Form
  • BCBSM Physician Assistant Combined Signature Document

In addition, keep the following in mind:

  • All physician assistants are encouraged to re-enroll as early as possible to ensure claims don’t reject inappropriately for dates of service on or after Feb. 1, 2018.
  • Be sure your Council for Affordable Quality Healthcare data is current and consistent with the information you provide on the re-enrollment form.

How to contract and re-enroll

Physician assistants can find and use the Blue Cross and BCN practitioner agreements and enrollment forms on bcbsm.com.

Note: If a professional group is enrolling a new physician assistant, the group must enroll the PA in the Provider Enrollment and Change Self-Service application and then use the application to add the PA to the group.

Information about reimbursement for dates of service on or after Feb. 1, 2018

  • Physician assistants who have re-enrolled by Jan. 31, 2018, will be eligible for reimbursement for services within their scope of license either directly or under a group for all lines of business.
  • Physician assistants who haven’t re-enrolled will have their claims denied.

If you have any questions about physician assistant re-enrollments, contact Provider Inquiry.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.