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November 2017
Blue Cross to expand preauthorization requirements for PT, OT services for Medicare Plus BlueSM members
In partnership with eviCore healthcare, Blue Cross Blue Shield of Michigan will expand its use management preauthorization program for outpatient physical and occupational rehabilitation for members with Medicare Plus Blue to include outpatient skilled nursing facilities and doctors with the following degrees: M.D., D.O., D.P.M. and D.D.S.
Starting Jan. 1, 2018, all skilled nursing facilities and doctors with the above-mentioned degrees will be required to obtain preauthorization for all outpatient PT and OT rehabilitation services for members with Medicare Plus Blue, our Medicare Advantage PPO plan.
The program applies to Michigan members being treated by Michigan health care providers. Speech therapy is not included in this program.
We’re offering online orientation sessions to explain the preauthorization requirements.
Register in advance
Anyone who wants to attend one of the online orientation sessions must register in advance. Each online orientation session is free and will last about one hour.
Online orientation sessions
Dates |
Day of the week |
Time |
Nov. 2 |
Thursday |
3 p.m. |
Nov. 7 |
Tuesday |
10 a.m. |
Nov. 15 |
Wednesday |
2 p.m. |
Dec. 5 |
Tuesday |
11 a.m. |
How to register
Follow these steps to register for and participate in a session.
- Once you’ve chosen a date and time, go to evicore.webex.com.
- Click on the Training Center tab at the top of the page.
- Find the date and time of the conference you to attend by clicking the Upcoming tab. All of the online orientation sessions will be named “BCBSM/eviCore Provider Session – Therapies Prior Authorization.”
- Click on Register.
- Enter the registration information.
After you’ve registered for the conference, you’ll receive a registration email containing:
- The toll-free phone number and pass code you’ll need for the audio portion of the conference
- A link to the online portion of the conference
- The conference password
Keep the registration email so you’ll have the link to the conference and the call-in number for the session in which you will be participating.
If you’re unable to participate in a session at any of the times listed, you can obtain a copy of the presentation by contacting clientservices@evicore.com.
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