Skilled nursing facilities don’t need PT or OT preauthorizations for Medicare Plus Blue^SM PPO members

Blue Cross Blue Shield of Michigan doesn’t require preauthorization for outpatient physical therapy or occupational therapy services provided to Medicare Plus Blue^SM PPO members in skilled nursing facilities.

Recently, there was some confusion that skilled nursing facilities needed to obtain preauthorizations for Medicare Plus Blue PPO members who receive outpatient PT or OT services.

We’re reviewing the possibility of including these facilities at a later date. If we do include skilled nursing facilities, we’ll communicate that change in The Record and on web-DENIS. We apologize for any confusion.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2016 American Medical Association. All rights reserved.

Skilled nursing facilities don’t need PT or OT preauthorizations for Medicare Plus BlueSM PPO members

Skilled nursing facilities don’t need PT or OT preauthorizations for Medicare Plus Blue^SM PPO members