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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. Crisis services provide support for members with urgent behavioral health concerns Blue Cross and Blue Care Network recently launched new mobile crisis and crisis stabilization services to help commercial members under age 65 experiencing a mental health or substance use crisis get prompt and appropriate behavioral health treatment. Read more: BCN to use InterQual ABA criteria for prior authorization requests submitted starting Oct. 1 For prior authorization requests submitted for BCN commercial members on or after Oct. 1, 2022, Blue Care Network will use Change Healthcare’s InterQual® Applied Behavior Analysis Treatment criteria to make determinations. Read more: Page 12 of the September–October 2022 BCN Provider News Reminder: Only certain modifiers payable for services provided in OPC facilities for Blue Cross commercial members When billing for services provided in an outpatient psychiatric care facility, include the appropriate modifier to identify the licensure level of the servicing provider. For more information, see the updated Requirements for providing behavioral health services to Blue Cross commercial members document. Read more: September 2022 issue of The Record New 988 emergency line for behavioral health As of July 16, people struggling with a mental health or substance use crisis (or who are having thoughts of suicide) have a new number they can use — 988 — to connect them to the existing National Suicide Prevention Lifeline (which has been renamed to Suicide and Crisis Lifeline). Read more: 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: All behavioral health practitioner specialty changes require new enrollment A new mental health practitioner enrollment application is required when you’re making changes to your specialty or licensure. Any groups you currently practice with will need to update their records to reflect your change. Read more: July 2022 issue of The Record Clinical quality corner: Coordination of care Blue Cross promotes the importance of coordination of care among contracted providers, including the primary care provider and behavioral health specialist. Read more: Suicide prevention efforts Blue Cross and BCN are dedicated to improving suicide prevention efforts. Read about our programs, tools, webinars and more in the following articles: 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: Reminder: Health care providers must attest in CAQH every 90 days Have you attested in CAQH within the past 90 days? Did you know that if you don’t re-attest with CAQH every 90 days, you won’t be included in our provider directories, including our Find a Doctor search tool? That’s one of the main reasons it’s so important to take the time to perform this task. Read more: Behavioral Health Provider Resources 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 |
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