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October 2019

Blue Cross updates medical record requirements for applied behavior analysis services

Blue Cross Blue Shield of Michigan updated the medical record documentation requirements for applied behavior analysis services. The updates clarify documentation requirements for services involving tutors and technicians.

These requirements apply to the following plans:

  • Blue Cross PPO commercial
  • BCN HMOSM (commercial)

View the updated medical record requirements here. You can also find them at ereferrals.bcbsm.com. Click BCN or Blue Cross and then Behavioral Health. Once on the Behavioral Health page, select the document title, which is Behavioral health medical record documentation requirements for applied behavior analysis services.

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