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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.
Billing change for IOP services provided through telehealth for some members For dates of service on or after Oct. 1, 2021, you should no longer include procedure code Q3014 on claims for behavioral health intensive outpatient program, or IOP, services provided through telemedicine. Instead, you should simply bill revenue code 0905 or 0906 with modifier GT or 95. Read more: Update: CADC and CAADC credentials not required for facilities that treat substance use disorders Staff who work at facilities contracted with Blue Cross Blue Shield of Michigan and Blue Care Network for the treatment of substance use disorders are not required to have a Certified Alcohol and Drug Counselor, or CADC, or Certified Advanced Alcohol and Drug Counselor, or CAADC, credential. This reverses our earlier communications on this topic. Read more: October 2021 article on ereferrals.bcbsm.com Notice: Health care providers must attest in CAQH every 90 days To remain listed in Blue Cross provider directories, including Find a Doctor, health care providers must re-attest every 90 days. Read more: New method of obtaining emergency crisis assessment for psychiatric issues, treatment coming Starting Oct. 1, 2021, Blue Cross and BCN began covering mobile crisis and crisis stabilization services. Both urgent care and crisis residential services are already covered. Read more: We need to increase our efforts to combat suicide We’ve seen a steady rise in suicide rates over the past two decades, but the COVID-19 pandemic — and related social isolation and anxiety — has created additional challenges. We need to remain especially vigilant as we work to reduce suicide rates. Read more: Behavioral Health Provider Resources Located on web‑DENIS: Provider training webinars, job aids, FAQs, brochures and flyers
Behavioral Health general resources, forms, utilization management criteria, Behavioral Health Incentive Program Behavioral Health Fee Schedule Behavioral Health chapter of the BCN Provider Manual
Finding the Blue Cross and BCN plans you accept and networks you belong to
Located on ereferrals.bcbsm.com: Behavioral Health e-referral User Guide Blue Cross and BCN Provider Systems and Web Resources flyer Located on bcbsm.com/providers: Enrollment Helpful Hints — new providers flyer Enrollment Helpful Hints — new OPC flyer Enrollment Helpful Hints — new ancillary
providers located outside of Michigan flyer Behavioral Health Eligibility and Type Grid flyer Behavioral Health section of BCN Provider News Subscribe to our provider news |
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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. |