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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.
Reminder: 2% Medicare sequestration reduction slated to resume July 1 We’re reminding health care providers that Medicare sequestration reduction is scheduled to resume July 1, 2022, at 2%. Read more: We’re introducing a new program that uses genetic testing to personalize medication treatments Blue Care Network is pleased to announce a new precision medicine program, Blue Cross Personalized Medicine℠, that will help physicians tailor the medication regimen of patients to their specific needs. The program uses pharmacogenomics, or genetic testing, to personalize medication treatments. Read more: Holiday office closings Blue Cross and BCN offices will be closed July 4 (Independence Day). 2022 InterQual criteria to be implemented Aug. 1 Blue Cross Blue Shield of Michigan and Blue Care Network will start using 2022 InterQual® criteria on Aug. 1, 2022, to make utilization management determinations. Read more: Providers in East, Mid and Southeast regions have a new email box to reach provider consultants Blue Cross and BCN want to make it easier and simpler for you to reach a provider consultant when you need to escalate a provider inquiry. To this end, providers in the East, Mid and Southeast regions now have a new email box to use: petcontactus@bcbsm.com. Read more: Landmark Health program expanding Blue Cross and Blue Care Network have been working with Landmark Health to make high-intensity in-home care available to Medicare Advantage members with multiple chronic conditions. Beginning July 1, we’re expanding the program to include additional members in Southeast Michigan counties, as well as the Lansing and Flint areas. Read more: Blue Cross and BCN add new virtual option for behavioral health care Blue Cross Blue Shield of Michigan has contracted with AbleTo, an independent company, to provide members with expanded access to behavioral health providers by offering a new virtual option for anxiety and depression treatment, effective July 15. This applies to Blue Cross commercial, Medicare Plus Blue℠, BCN commercial, and BCN Advantage℠ members Read more: 2022 Quality Measure Descriptions document available This guide provides reference material to help Blue Cross and BCN providers achieve 2022 Quality Rewards incentives. This can be found on BCN Health e-Blue℠, BCBSM Health e-Blue or BCBSM Medicare Advantage Health e-Blue under the Resources section. We’re removing age limits for autism spectrum disorder services We’re removing age limits for autism spectrum disorder services, including applied behavior analysis, or ABA, and physical, occupational and speech therapy. This change is retroactive to Jan. 1, 2022, to ensure continued access to treatment for Blue Cross commercial and BCN commercial members whose plan benefits include these services. Read more: Coding Advisor outreach to educate providers about appropriate use of procedure codes In July, Change Healthcare will reach out by phone or letter to providers who submit claims to Blue Cross and BCN. Coding Advisor will compare the billing of CPT codes to the codes used by a provider’s peers through a physician profile. Read more:
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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. |