In brief: Health e-Blue; behavioral health collaborative care services; BlueCard processes

Health e-Blue update: New requirement to submit quality data for HEDIS measures

Starting Jan. 1, 2026, there will be changes to the way primary care providers and group administrators submit quality data to Blue Cross Blue Shield of Michigan and Blue Care Network.

Primary source verification will be needed for three HEDIS^® measures if entered into Health e-Blue℠ in 2026 and for all measures in 2027. Also starting in 2026, all measures manually entered into Health e-Blue must be entered by year-end of the measurement year.

Read the full article in the April 2025 Record.

Behavioral health providers shouldn’t submit claims for behavioral health collaborative care services

As a reminder, behavioral health providers shouldn’t bill Blue Cross Blue Shield of Michigan or Blue Care Network for collaborative care services performed in a primary care or specialty setting. These services are associated with procedure codes *99492, *99493 and *99494, and HCPCS codes G0512 and G2214.

For complete details, see the May 2025 Record article.

Do you know about our BlueCard processes?

At Blue Cross Blue Shield of Michigan, we want to ensure that health care providers have the information they need about BlueCard^®. This national program enables members of one Blue plan to obtain health care services while traveling or living in another Blue plan's service area.

To learn more, see the April 2025 Record article.

*CPT Copyright 2024 American Medical Association. All rights reserved. CPT^® is a registered trademark of the American Medical Association.

HEDIS is also known as the Healthcare Effectiveness Data and Information Set. HEDIS^® is a registered trademark of the National Committee for Quality Assurance.

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