Oncology management program to include Blue Cross commercial members, starting in December

Beginning Dec. 1, 2020, Blue Cross Blue Shield of Michigan will expand its utilization management program for medical oncology to include all fully insured commercial members. Blue Cross commercial groups that are self-funded will have the option to add this program in 2021.

With this expansion, providers will need to request authorization from AIM Specialty Health^® for certain medical oncology and supportive care medications for PPO members.

This program is already in effect for Medicare Plus Blue^SM, Blue Care Network commercial and BCN Advantage^SM members and for UAW Retiree Medical Benefits Trust non-Medicare members.
Program benefits include:

• Synchronization of Blue Cross’ medical policies
• Access to the AIM ProviderPortal^SM 24 hours a day, seven days a week for automated review of clinical appropriateness and access to AIM contact center personnel. (During business hours, this includes access to oncology nurses and oncologists)
• Actionable information, including a comprehensive set of current, evidence-based AIM Cancer Treatment Pathways for more than 80 clinical scenarios
• Enhanced reimbursement when choosing an AIM Cancer Treatment Pathway regimen when clinically appropriate (to be billed using designated S-codes)

You can request authorizations by going to the AIM ProviderPortal** or by calling AIM at 1-800-728-8008, beginning Nov. 16, 2020 (for services on or after Dec. 1, 2020).

For more information about our current AIM oncology program, go to aimproviders.com** or visit the Blue Cross AIM-Managed Procedures page at ereferrals.bcbsm.com. We’ll update this webpage with this new information later this year. We’ll also provide additional information about program requirements in future issues of this publication.

Also watch for information about training webinars. We’ll update you about webinar times and dates as well as how to register through web-DENIS messages and in news items on ereferrals.bcbsm.com.

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