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October 2014
Blue Cross to manage non-Medicare durable medical equipment benefits for MPSERS members
Starting Jan. 1, 2015, Blue Cross Blue Shield of Michigan will manage the following for non-Medicare Michigan Public School Employees Retirement System members who live in Michigan:
- Durable medical equipment
- Prosthetic and orthotics
- Medical supplies
When submitting a claim for DME or P&O services, providers should directly bill:
- The current vendor, DMEnsionSM, for services provided before Jan. 1, 2015
- Blue Cross for services provided after Jan. 1, 2015
For members who receive services outside of Michigan, Blue Cross will continue to process MPSERS DME and P&O claims through our BlueCard® program. Suppliers who ship equipment or medical supplies to an out-of-state member must participate in the Blue Cross plan in that member’s state so that the member can receive full benefits.
Blue Cross will also honor current prescriptions for rental DME and medical supplies as long as:
- The supplier remains the same.
- The prescription is still valid.
- The prescription covers the rental period for equipment or supplies being billed.
Accrued rental payments for DME items in the vendor program will count toward the Blue Cross-approved purchase price.
If you have any questions, contact your provider consultant. | 