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This newsletter includes short summaries, reminders and updates for Blue Cross and BCN providers. Please visit The Record or BCN Provider News for complete newsletter editions.
BCN offers 20 individual products for 2021 Blue Care Network is offering 20 products for the 2021 marketplace:
As always, check member eligibility and benefits at every visit through web‑DENIS before providing services. Read more on Page 1 of the November–December 2020 BCN Provider News. Reminder: Oncology management program to include Blue Cross commercial members, starting Dec. 1 Blue Cross is expanding its utilization management program for medical oncology to include all fully insured commercial members starting Dec. 1, 2020. As a result, providers will need to request prior authorization from AIM Specialty Health® for certain medical oncology and supportive care medications. For more information about the program, see the November 2020 issue of The Record. We’re expanding our cardiology services authorization program with AIM Specialty Health for some members Starting Jan. 1, 2021, we’re adding some cardiology services that will require authorization by AIM Specialty Health® for certain commercial and Medicare Advantage members. The services include cardiac implantable devices and arterial ultrasound for dates of service on or after Jan. 1, 2021. For more information, see Page 44 of the November‑December 2020 BCN Provider News or the November 2020 issue of The Record. Holiday office closings Blue Cross and BCN offices will be closed Nov. 3 (Election Day) and Nov. 26-27 (Thanksgiving). Collaborative care billing guidelines The Collaborative Care Model allows a primary care physician to more effectively treat patients with behavioral health conditions; however, there are some specific billing requirements when using this model. For more information on CoCM billing basics and codes, see the November 2020 issue of The Record. TurningPoint musculoskeletal authorization program to expand in January TurningPoint Healthcare Solutions is expanding its surgical quality and safety management program for Blue Cross and BCN members. See Page 46 of the November–December 2020 BCN Provider News or the November 2020 issue of The Record for information about:
Medicare Advantage members transitioning to a new diabetic management program In October, BCN Advantage℠ and Medicare Plus Blue℠ PPO members in the Fit4D diabetes management program, managed by Cecilia Health, began transitioning to Livongo for diabetic management services. Members enrolled in Fit4D will complete their programs before being offered the new program. For more information, see Page 15 of the November–December 2020 BCN Provider News or the November 2020 issue of The Record.
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Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |