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November 2019

Reminder: Oncology management program effective for MA plans in January

As you read in a September Record article, a new utilization management program for medical oncology drugs for Medicare Plus BlueSM PPO and BCN AdvantageSM members will begin in January 2020. This program became effective for BCN HMOSM (commercial) members in August 2019.  

Providers will need to obtain authorizations from AIM Specialty Health® for some medical oncology and supportive care medications. You can view a list of medications managed by AIM on the Blue Cross or BCN AIM-Managed Procedures page of ereferrals.bcbsm.com. Or you can go directly to the list by clicking here.

Nonclinical provider staff can learn about the new medical oncology program and how to use the AIM ProviderPortalSM by attending a webinar. To attend a webinar, click on your preferred date and time below and then click Add to my calendar. (If the time displays in Pacific time when you click on the link, simply save it to your calendar and it should automatically change to Eastern time.)

Thursday, Nov. 21, 9 to 10 a.m.
Thursday, Dec. 12, 9 to 10 a.m.
Wednesday, Dec. 18, noon to 1 p.m.
Thursday, Jan. 9, 2020, 9 to 10 a.m.
Wednesday, Jan. 22, 2020, noon to 1 p.m.

Clinicians can learn more about the Oncology Management Program for Blue Cross Blue Shield of Michigan and Blue Care Network on the AIM website by clicking here.**  You can also view a short video — Clinician Overview — Medical Oncology Program** — that describes the need for clinical pathways and how the pathways were developed. Use the password AIMONCOLOGY to access it.

The AIM ProviderPortalSM will be available on Dec. 16. For information about registering for and accessing AIM ProviderPortal, see the Frequently Asked Questions** page of the AIM website.

We’ve also posted a frequently asked questions document about the Oncology Management Program on erferrals.bcbsm.com. To access it, click here.

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.