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January 2014		Print Newsletter (PDF)
	BCBSM coverage decisions on 2014 HCPCS codes available online The 2014 Current Procedural Terminology codes were released in mid-October. We have begun working to implement these new and revised codes in our claims processing systems. You may begin using these new codes on or after Jan. 1. Read more.	Inside this issue for you Coverage expanded for licensed medical practitioners in 2014 FEP benefits Blue Cross Blue Shield of Michigan changes its board committee structure Physical therapy services guidelines updated

New wellness incentive plan Healthy Blue Achieve^SM PPO rewards members for making better health choices New Physician Verification Form replaces Medical Waiver Request form New CMS-1500 claim form to replace Michigan Status Claim Review Form Practitioners must sign contracts soon to participate in the Southeast Michigan local network Risk adjustment, HEDIS^® medical record reviews begin in January Additional specialty medical drugs require prior authorization starting March 1 Physician assistant, certified nurse practitioner group exclusion chart updated Additional specialty medical drugs require prior authorization starting March 1	BCBSM coverage decisions on 2014 HCPCS codes available online Coverage expanded for licensed medical practitioners in 2014 FEP benefits Blue Cross Blue Shield of Michigan changes its board committee structure Physical therapy services guidelines updated Anesthesia services guidelines updated Process for obtaining an autism evaluation updated Reminder: Keep your CAQH^® information current Blues highlight medical, benefit policy changes Customize your Record subscription Additional specialty medical drugs require prior authorization starting March 1	Physician assistant, certified nurse practitioner group exclusion chart updated Blue Cross Blue Shield of Michigan launches ‘SmartER’ initiative Reminder: Psychiatric, subacute detox facilities should not submit claims for acute medical detox Medicare Plus Blue^SM launches Blue Care Connect^SM in January BCBSM’s Medicare Plus Blue^SM Group PPO gains members in Michigan for 2014 Medicare Advantage deductibles rule clarified
No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM. *CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.

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