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February 2018

FEP Case Management program requires member’s signed consent for enrollment

Federal Employee Program® members who want to use Case Management services must sign a Consent for Case Management form. This requirement went into effect Jan. 1, 2018.

There’s no additional cost to the member for the Case Management program and it’s voluntary. The consent is active for one year from the date signed. The consent also ends when a patient is no longer a member of the Blue Cross and Blue Shield Service Benefit Plan.

While enrolled, the member must follow the program requirements as outlined in section 5(h) of the Service Benefit Plan brochure. Consent for case management allows the case manager to contact the member or their care team to discuss health care needs and authorizes the release of medical information.

If a member is transitioning to a residential treatment facility, they must be participating in the Case Management program prior to admission in order to receive these services while in the facility. Similarly, members with the Standard Option, but no Medicare Part A coverage, must be enrolled in Case Management before entering a skilled nursing facility if they wish to receive these services while in the facility.

To get the form:

  1. Log in as a provider at bcbsm.com.
  2. Click BCBSM Provider Publications and Resources on the lower right side of the page.
  3. Click Newsletters and Resources.
  4. Click Forms in the Other Resources section in the left navigation.
  5. Click Federal Employee Program Consent for Case Management.

If you have benefit questions, call the FEP Customer Service line at 1-800-482-3600. If you have questions about Case Management services, call 1-800-325-6278.

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.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.