Here’s what you need to know about prior authorization requirements for acute detoxification

Members with Blue Cross Blue Shield of Michigan commercial PPO health plans require prior authorizations for uncomplicated acute detoxification through New Directions. To submit a prior authorization request to New Directions, call 1-800-762-2382 or visit New Directions WebPass.

This prior authorization requirement is for members with Blue Cross health plans that include behavioral health benefits. Groups with behavioral health benefits carved out are excluded.

Keep the following in mind:

• When members need detoxification, but a medical condition, such as acute pancreatitis, chest pains or dehydration, is the primary focus of care, authorization should be obtained from Blue Cross through the e-referral system.
• If a member has been admitted for acute detoxification and then develops acute medical complications, you must request authorization through e-referral — even if you’ve already received prior authorization for acute detoxification through New Directions.