Providers to have one contact for post-acute care authorizations

As Blue Cross Blue Shield of Michigan continues to align functions across our organization, we’ve created a single point of contact for providers to request an authorization for post-acute care admissions, including skilled nursing facilities and long-term acute care hospitals.

As of April 30, 2018, all these requests should be routed to the Precertification Utilization Management team by faxing them to 1-866-411-2573. The process for requesting authorizations can be found here and the forms for faxing can be found on this page, under Forms. As part of the process, all benefits must be verified before you request services.

The Precertification Utilization Management team provides authorizations for acute inpatient hospital settings, inpatient rehabilitation, SNF and Medicare Advantage PPO LTACH cases.

Case Management won’t process requests for enhanced benefits for SNF, LTACH or other extra-contractual benefits as of April 30. These requests will be processed by Precertification Utilization Management. Case Management will continue to process cases for care coordination only. The number for the Blue Cross Engagement Center is 1-800-775 2583.

MESSA is excluded from the precertification and case management programs outlined in this article. All other commercial employer groups, including the auto groups and the URMBT, are included, as well as individual members and Federal Employee Program^® members.

If you have any questions, check out the links above.