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April 2014

OPTs may apply to participate with BCBSM and BCN before Medicare approval letter received

As of March 1, 2014, outpatient physical therapist facilities may be considered for temporary participation with Blue Cross Blue Shield of Michigan and Blue Care Network. The facility must have applied for Medicare certification and must comply with BCBSM’s self-certification process.

OPT providers will be considered for temporary participation only if the facility submits:

  • The BCBSM and BCN Facility Application Form, which is available at bcbsm.com/providers.
    • Click on the Join the Blues Network tab.
    • Click on Enrollment and Changes.
    • Click on Provider Enrollment and follow the prompts.
  • An OPT Self-Certification statement. (Contact Provider Enrollment and Data Management at 1-800-822-2761 to obtain this document.)
  • Proof of application for Medicare certification from the Michigan Department of Consumer and Industry Services.
  • All other required documents. You can view a checklist here.

If you have any questions about provider enrollment, contact Provider Enrollment and Data Management at 1-800-822-2761.

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.