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August 2015

Blue Cross Blue Shield of Michigan contracts with psychiatric residential treatment facilities in Michigan

Most Blue Cross members with mental health coverage now have coverage for psychiatric residential treatment.

Psychiatric residential treatment allows people who are suffering from a psychiatric illness to receive around-the-clock care on a short-term basis.

This level of care can allow patients with illnesses such as anorexia nervosa, schizophrenia or bipolar disorder to spend less time in a psychiatric hospital or avoid hospitalization. The treatment takes place in a state-licensed facility, for example, in an adult or child foster care facility with a multidisciplinary treatment team.

Psychiatric residential treatment is not meant to be used on an emergency basis, and admission must be coordinated by a mental health professional as part of an overall treatment plan.

Always make sure to check the member’s benefit coverage to determine eligibility. The facility must obtain preauthorization for the treatment to be covered.

To find an approved facility in Michigan, see our complete listing here.

Or you can go to bcbsm.com.

  • Click Find a Doctor.
  • Under “More Information,” click on Dental, Vision and Other Directories.
  • Click on Approved Psychiatric Residential Treatment Facility List (PDF).

For more information on qualifying as a psychiatric residential treatment facility, read the January Record article on this topic.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2014 American Medical Association. All rights reserved.