We’re working to ensure providers are available to care for our Michigan members

During national emergencies, such as COVID-19, that are declared by the federal and state government, Blue Cross Blue Shield of Michigan and Blue Care Network — as directed by the government agencies — allow licensed practitioners to provide services to our members outside of their state of provider licensure. We’ve temporarily waived the requirement that out-of-state practitioners be licensed in Michigan when they are licensed in another state.

In addition, we’re relaxing certain requirements for enrollment and credentialing for practitioners joining multiple practice locations, as well as practitioners coming out of retirement to assist with the care of members.

These procedures are effective until the statewide emergency has been lifted.

Other important information

For in-state providers who plan to work at a different location and bill under a different Type 2 NPI or tax ID during this pandemic, the group bringing in the temporary physician will need to add him or her to their group through our enrollment self-service tool.

Follow these guidelines:

• The originating practice should not delete the physician’s association with their group unless this is a permanent change.
• We recommend that practices consider waiting one week before submitting new claims associated with a change. (This applies to in-state providers making changes through self-service.)
• Be advised that sending in a paper form to execute this process will take longer than five business days.

For out-of-state providers

If you’re an out-of-state provider with questions about credentialing and enrollment, email Zachary Lucas at  zlucas@bcbsm.com.

When you receive confirmation on your submission, we recommend that you wait 10 business days before submitting claims for out-of-state providers. (This applies to out-of-state providers joining in-state groups.)