Medical Drug Prior Authorization

Who is this for?

Michigan Health Insurance – Customer Service – How To

If you're a physician looking to get medical drug prior authorization through Provider Secured Services, this information will tell you which forms you'll need to fill out.

You can use our online tool if you're a doctor who needs to get prior authorization for specialty drugs.

Please note that the following providers don’t qualify to request prior authorization on their own.

  • DME
  • Billing and Insurance Verification Services
  • Immunization Pharmacies
  • Ambulatory Infusion Centers
  • Specialty Pharmacies
  • Home Infusion Therapy

If you’re in one of these categories, the member’s physician will need to request prior authorization from Blue Cross Blue Shield of Michigan. If you need the approval dates or authorization number for the claim form, you should contact the physician who received the authorization.

If you're already signed up for Provider Secured Services and you'd like access to Medical Drug Prior Authorization, please fill out Addendum P (PDF).

If your office has a Provider Secured Service account but you need a login ID, please fill out Medical Drug Prior Authorization application (PDF).

If no one in your office has access to Provider Secured Services, you need to fill out both the Medical Drug PA application (PDF) and the Use and Protection Agreement (PDF). Submit both documents to Blue Cross Blue Shield of Michigan.

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