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September 2020
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We are simplifying inquiry and appeal process
As part of our efforts to streamline processes and improve your overall experience with Blue Cross Blue Shield of Michigan, we’ll begin accepting your claim appeal verbally when you contact Provider Relations & Servicing, effective Oct. 1, 2020. Read more.

Inside this issue for you

See all the articles in this issue, grouped by category, below.

Professional

We’re temporarily allowing direct‑line ABA interventions to be performed via telemedicine
New program helps members understand treatment options
We are simplifying inquiry and appeal process
Oncology management program to include Blue Cross commercial members, starting in December
MPSERS, State of Michigan groups extend COVID‑19 cost‑sharing waivers
For MESSA members, no‑cost telehealth services, including behavioral health, extended through Dec 31
TurningPoint musculoskeletal procedure authorization program to expand in January
Health e‑Blue guide explains how to access pharmacy data, identify cost-saving
Medical specialty drug prior authorization lists changing for Medicare Plus Blue, BCN commercial and BCN Advantage
AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1 for most Blue Cross commercial members
IVIG dosing strategy changing for Medicare Part B medical specialty program, starting Dec. 7
We’re revising our policy on hypofractionation for breast and prostate cancer as part of our radiation oncology program
Resources available to help doctors, FEP members manage chronic conditions

Facility

We are simplifying inquiry and appeal process
We’re extending fee schedule changes for home health care, home infusion therapy due to COVID‑19
Skilled nursing facilities to follow new process to submit authorization requests for Blue Cross, BCN commercial members
Oncology management program to include Blue Cross commercial members, starting in December
MPSERS, State of Michigan groups extend COVID‑19 cost‑sharing waivers
TurningPoint musculoskeletal procedure authorization program to expand in January
Medical specialty drug prior authorization lists changing for Medicare Plus Blue, BCN commercial and BCN Advantage
AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1 for most Blue Cross commercial members
IVIG dosing strategy changing for Medicare Part B medical specialty program, starting Dec. 7

All Providers

New, secure provider website coming in 2021
Blue Cross, BCN commercial members to have preferred hereditary angioedema drugs, starting Nov. 1
FY 2021 ICD‑10‑CM and PCS code updates now available
COVID‑19 CPT codes added
HCPCS update: COVID‑19 code revision
Billing chart: Blues highlight medical, benefit policy changes

Pharmacy

Medical specialty drug prior authorization lists changing for Medicare Plus Blue, BCN commercial and BCN Advantage
AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1 for most Blue Cross commercial members
IVIG dosing strategy changing for Medicare Part B medical specialty program, starting Dec. 7

Vision

We are simplifying inquiry and appeal process

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