The Record - for physicians and other health care providers to share with their office staffs Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
September 2014

BCBSM adds residential psychiatric treatment benefits

Blue Cross Blue Shield of Michigan began covering residential psychiatric treatment, effective July 1, 2014.

Residential psychiatric treatment takes place in a state-licensed facility (e.g., an adult or child foster care facility) with a multidisciplinary treatment team. The following services are available to assist with medical issues, administration of medication and crisis intervention as needed:

  • Nursing care is onsite or on call, and no more than fifteen minutes away 24/7.
  • A psychiatrist is on call 24/7.
  • A psychiatrist is onsite a minimum of two days per week.

Always check a member’s coverage to see if it includes residential psychiatric treatment benefits.

If you have questions about treatment, facilities or obtaining preauthorization for members who have the residential psychiatric treatment benefit, call Magellan Behavioral Health of Michigan, Inc., at 1-800-762-2382 or the appropriate behavioral health vendor. Keep in mind that residential treatment must be medically necessary and meet use and quality criteria.

Check future issues of The Record and web-DENIS for updates.

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.