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May 2013
Authorization is required for partial hospitalization for eating disorders
Effective June 1, 2013, partial hospitalization programs for eating disorders must be authorized through Magellan Behavioral of Michigan Inc.
This applies to members enrolled in the Traditional, PPO and Blue Choice PPOSM programs whose mental health benefit is managed by Magellan on behalf of Blue Cross Blue Shield of Michigan. This does not apply to customer groups that have chosen a third party to administer their behavioral health benefits.
To obtain authorization, please call Magellan at 1-800-762-2382. For FEP and Blue Choice PPO members, call the toll-free number for behavioral health on the back of the member’s ID card.
This authorization process applies to all designated and non-designated facilities for Blue Cross Blue Shield members.
You can find the clinical criteria for partial hospitalizations in the Magellan Behavioral Health Inc. Medical Necessity Criteria Guidelines. To access this information in web-DENIS:
- Log in to web-DENIS.
- In the left-hand navigation, click on BCBSM Provider Publications and Resources.
- Click on Newsletters and Resources.
- Click on Clinical Criteria & Resources.
- Scroll down to Resources and 2013 updated Magellan Behavioral Health Medical Necessity Criteria.
Click on 2013 Magellan Behavioral Health Medical Necessity Criteria.
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