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January 2014
Blue Cross Blue Shield of Michigan changes its board committee structure
As part of its transition process to a mutual insurance company, the BCBSM Board of Directors has redefined and approved its new board committee structure, which will be in place Jan. 1, 2014, and reflected in health care provider participation agreements April 1, 2014.
The changes outlined in the chart below affect all health care providers, except for hospitals.
Old committee structure |
New committee structure |
Provider Relations Committee + Health Care Delivery and Cost Committee |
Health Care Delivery Committee |
Physician and Professional Provider Contract Advisory Committee |
Professional Provider Relations Advisory Committee |
All references to PRC and PPPCAC in provider agreements will be changed to HCDC and PPRAC, respectively.
For the health care providers listed below, provider agreements have also been updated to include the revised committee names in the appeals process. These agreements can be found in the provider manuals on web-DENIS:
- Ambulance
- Certified registered nurse anesthetist
- End-stage renal disease facility (Traditional contract)
- End-stage renal disease facility (TRUST contract)
- Hearing specialist
- Hospice
- Long-term acute care hospital
- Practitioners (M.D., D.O., chiropractors, fully-licensed psychologists and podiatrists)
- Vision specialists (ophthalmologists and optometrists)
- Freestanding and hospital-based substance abuse facility
- Skilled nursing facility
Providers not listed above should check their online provider manuals beginning April 1, 2014, for the latest appeals process.
Contact your provider consultant if you have any questions. | 