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February 2019

Clarification: Prior authorization scope change for PPO members

In a December Record article, Blue Cross Blue Shield of Michigan shared information about a program change, directing providers to obtain prior authorization for high-tech radiology, in-lab sleep management and echocardiogram services for PPO non-Medicare patients who live in Michigan.

We wanted to add clarifying information regarding UAW Retiree Medical Benefits Trust (URMBT) non-Medicare members. For these members, authorizations will be required for high-tech radiology, medical oncology and radiation oncology services whether they live in or out of state.

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