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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. Learn more about Blue Cross Personalized Medicine℠ BCN’s new precision medicine pharmacogenomics, or PGx, program can help you personalize medications for your patients. Some of your patients may be invited to take a RightMed® PGx test at no cost to them. These patients may want your advice on whether they should take this test. And, once results are available, they’ll want you to determine if their medications should change. 2023 Behavioral Health Incentive Program booklet and flyer now available To review the program booklet and flyer for details:
Availity® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services. BCN now uses updated InterQual® ABA criterias On March 1, 2023, the BCN Behavioral Health department started using updated InterQual® applied behavior analysis criteria when making determinations on prior authorization requests for ABA services. This applies to BCN commercial members undergoing autism therapy Read more: Page 16 of the March–April 2023 BCN Provider News Blue Cross works with Quartet to connect behavioral health providers with members, starting July 1, 2023 Blue Cross Blue Shield of Michigan has contracted with Quartet, an independent company that offers an online care navigation solution. Learn how we’re working with Quartet to help members access outpatient behavioral health care. Read more: Quartet is an independent company contracted by Blue Cross Blue Shield of Michigan to connect Blue Cross and BCN members seeking outpatient behavioral health services with the appropriate behavioral health providers.New Directions is now Lucet On Jan. 18, 2023, New Directions Behavioral Health changed its name to Lucet. The company continues to provide the same behavioral health utilization management and case management services to Blue Cross commercial members. Read more: March 2023 issue of The Record Lucet is an independent company that manages authorizations for behavioral health and autism services for Blue Cross Blue Shield of Michigan members who have commercial plans. CoCM providers can now be found on Find a Doctor search tool Health care providers who have received designation in our Collaborative Care Model program were added to our Find a Doctor search tool in January. Read more: March 2023 issue of The Record Holiday office closings Blue Cross and BCN offices will be closed May 29 (Memorial Day). Legislation removes barriers to using buprenorphine to treat people with OUD The Mainstreaming Addiction Treatment Act removes many barriers in the prescription of buprenorphine, the most commonly prescribed medication-assisted treatment for opioid use disorder. Read more: Behavioral health coverage for Healthy Blue Choices℠ POS The new Healthy Blue Choices℠ POS health plan has behavioral health coverage that isn’t handled through BCN. It’s handled through Beacon Health Options. Read more: Page 15 of the March–April 2023 BCN Provider News Outpatient ECT no longer requires prior authorization for BCN members For dates of service on or after Jan. 1, 2023, BCN no longer requires prior authorization for outpatient electroconvulsive therapy, or ECT. Read more: Page 17 of the March–April 2023 BCN Provider News Resources for members coping with the MSU tragedy In February 2023, we posted a provider alert for behavioral health providers with a link to the Behavioral health resources to discuss with your patients document. There are additional resources to which providers can refer members who are continuing to struggle. Read more: March 2, 2023, provider alert Suicide prevention efforts Blue Cross and BCN are dedicated to improving suicide prevention efforts. Read more: Psychiatric residential treatment: What it is and what it isn’t Over the past two years, we’ve seen an increase in the use of psychiatric residential treatment. Discover what this level of psychiatric care involves. Read more: January–February 2023 Hospital and Physician Update Our crisis services program continues to expand Find out about our crisis services locations, available care options and service areas. Read more: January– February 2023 Hospital and Physician Update Reminder: Health care providers must attest in CAQH every 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? Updated behavioral health resources: Enrollment Helpful Hints — new behavioral health providers flyer Behavioral Health Eligibility and Type Grid flyer |
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