Clarification: We’re removing providers on CMS preclusion list from our commercial and MA networks

In a January Record article, we notified health care providers that we’re required by the Centers for Medicare & Medicaid Services to remove providers from our Medicare Advantage networks if they are on the CMS preclusion list. We’re not allowed to pay member claims for medical and pharmacy Part D services for providers on the preclusion list, according to CMS.

We want to let you know that we’re also removing providers who are on the Medicare preclusion list from all Blue Cross Blue Shield of Michigan commercial and Blue Care Network HMO provider networks. These providers will be removed from our online provider directories. And providers on the preclusion list won’t be permitted to enroll in any of our commercial or Medicare Advantage networks.

For more information about the preclusion list, go to cms.gov** and type Preclusion list in the search box.

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.