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September 2019

How to request prior authorization through New Directions for behavioral health, substance abuse benefits for State of Michigan enrollees

New Directions Behavioral Health will manage behavioral health and substance use disorder benefits on behalf of Blue Cross Blue Shield of Michigan for State of Michigan enrollees (group number 007000562), effective Oct. 1, 2019.

Their services were previously managed by Magellan Health. This change affects services provided on or after Oct. 1, 2019.

New Directions will be responsible for prior authorizations, as well as approvals and denials of all behavioral health and substance use disorder admissions. This includes outpatient services for applied behavioral analysis, or ABA, and intensive outpatient, or IOP, services. New Directions will also provide case management services.

Prior authorizations

You’ll have to log in to WebPass** on the New Directions website to request prior authorizations for State of Michigan members. To learn how to use WebPass, go to New Directions’ WebPass site and click on either To watch the Facility WebPass tutorial click here or To watch the ABA Provider WebPass tutorial click here.

Reminders

  • Medical necessity criteria for New Directions is available on web-DENIS.
  • Be sure to check your patients’ member ID cards and web-DENIS for eligibility and prior authorization information.

More information

For more information on current claims, prior authorizations and fee schedule, refer to the August 2019 Record article.

**Blue Cross Blue Shield of Michigan doesn’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.
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