|
|
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.
Our move to Availity in 2022 Timeline for our transition to the Availity provider portal:
An email was sent March 16 from Blue Cross Blue Shield of Michigan with a special edition newsletter focused on Blue Cross and Blue Care Network’s transition to our new provider portal. The special edition will help you learn about our new portal, including information on registration and training. Read more: The importance of follow-up care after an emergency department visit Follow-up care after an emergency department visit for behavioral health conditions has been shown to improve mental health and reduce substance use, according to the National Committee for Quality Assurance. Read more: March 2022 issue of The Record We’ve expanded existing quantity limit to include new prescriptions for long-acting opioids and tramadol Blue Cross Blue Shield of Michigan and Blue Care Network have expanded our existing quantity limits on opioid medications to include long-acting opioids and tramadol in support of the Food and Drug Administration’s efforts to balance the serious risk of opioids with the drugs’ pain management benefits. Read more: Behavioral health providers may discuss decisions with BCN physician reviewers BCN’s behavioral health physician reviewers may contact practitioners for additional information about their patients during their review of all levels of care, patient admissions, additional hospital days and requests for services that require medical policy and benefit interpretations. Read more: Page 22 of the March–April 2022 BCN Provider News PGIP allocation to be applied to all provider specialties Starting on June 1, 2022, our systems will be updated to ensure that the Physician Group Incentive Program allocation is applied to all provider specialties associated with medical doctors, doctors of osteopathy, chiropractors, podiatrists and fully licensed psychologists. Read more: March 2022 issue of The Record 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
Mental Health and Substance Abuse Disorder Carve Out List
Located on ereferrals.bcbsm.com: Behavioral Health e-referral User Guide Blue Cross and BCN Provider Systems and Web Resources flyer Requirements for providing behavioral health services BCN commercial and BCN Advantage members: 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 |
|
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. |