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March 2014

BCBSM to host March training session for board-certified behavior analysts

This month we’re hosting a training session for board-certified behavior analysts to learn more about applied behavioral analysis services, upcoming procedure code changes and billing guidelines.

The session will take place March 25 at the Lyon Meadows Conference Center, 53200 Grand River Ave., Conference Room A, in New Hudson. The event will last from 9 a.m. to 12 p.m.

To register for the event, send an email to SEprofessionaleducationregistration@bcbsm.com and include the attendee’s first and last names, the provider’s office name, National Provider Identifier, address and phone number. You will receive a confirmation within 72 hours of registering.

Blue Cross Blue Shield of Michigan recently discontinued the accelerated process for obtaining an autism evaluation. Effective Jan. 1, 2014, members must have an autism diagnosis made or confirmed by a Blues approved autism evaluation center if they’re seeking a recommendation for ABA treatment.

If a BCBSM member obtained an autism diagnosis using the accelerated process prior to Jan. 1, 2014, the diagnosis will be accepted by BCBSM for a period of three years from the date the diagnosis was made.

BCBSM adds approved autism evaluation centers
BCBSM continues to add approved autism evaluation centers to its network. The latest list, as of Jan. 24, is below.

  • Beaumont Children’s Hospital for Human Development, Berkley
  • Children’s Hospital of Michigan Autism Center, Detroit
  • Covenant Center for Autism, Bay City
  • Henry Ford Center for Autism and Developmental Disabilities, Detroit
  • Oakwood Center for Exceptional Families, Dearborn
  • Pine Rest Christian Mental Health Services, Grand Rapids
  • Spectrum Health Medical Group, Grand Rapids
  • University of Michigan Health System, Ann Arbor

To obtain the most up-to-date list of providers, check bcbsm.com regularly. Go to Find a Doctor and click on Dental, Vision and other directories.

You can also find a board-certified behavior analyst by following these steps:

  • Go to bcbsm.com.
  • Click on Find a Doctor.
  • Click on GET STARTED.
  • Click on I want to find doctors or hospitals in my plan.
  • Change the number of miles after “within.”
  • Type in your Zip Code.
  • Select your plan from the drop-down box.
  • Type “Board Certified Behavior Analyst” in the Step 3 field.
  • Select Go.
  • If the search does not return results, repeat the search increasing the number of miles in Step 5.

Additional information for health care providers is available on web-DENIS:

  • Click on BCBSM Provider Publications and Resources.
  • Click on Newsletters & Resources.
  • Click on Clinical Criteria & Resources.
  • Under the “Resources” heading, click on Autism.
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.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.