PCMH providers will receive board certification exceptions

Blue Cross Blue Shield of Michigan and Blue Care Network will continue to conduct annual board certification status reviews of family medicine, internal medicine and pediatric practitioners in our managed care networks.

However, effective Jan. 1, 2019, if board certification status has lapsed for a designated patient-centered medical home physician, Blue Cross will grant an exception and allow the practitioner to remain in our managed care networks. This exception doesn’t apply to new practitioner enrollments. We’ll continue to require that all practitioners have board certification upon initial enrollment for affiliation with us.

If board certification status has lapsed and the practitioner doesn’t have PCMH designation, he or she must complete his or her applicable specialty’s Maintenance of Certification requirements within a two-year time frame to remain in our managed care networks.