Questionnaires updated in e‑referral system

On June 27, 2021, the following questionnaires were updated in the e‑referral system:

• Artificial heart, total — For adult and pediatric Blue Care Network commercial members. This questionnaire now opens for procedure code *33995 and continues to open for other codes listed in the Artificial heart, total preview questionnaire. This questionnaire no longer opens for procedure code *33929.
• Hammertoe correction surgery — For adult Medicare Plus Blue℠, BCN Advantage℠ and adult BCN commercial members. This questionnaire no longer opens for procedure code *28160. It continues to open for the other procedures codes listed in the Hammertoe correction surgery preview questionnaire.
• Pediatric feeding — For BCN commercial members ages 18 and younger.

We’ve also updated the corresponding preview questionnaires and authorization criteria on the ereferrals.bcbsm.com website.

Remember that our authorization criteria, our medical policies and your answers to the questionnaires in the e‑referral system are used to make utilization management determinations on your authorization requests.

Preview questionnaires
You can access preview questionnaires at ereferrals.bcbsm.com to see the questions you’ll need to answer in the actual questionnaires that open in the e‑referral system. This can help you prepare your answers ahead of time.

The preview questionnaires can be found here:

• For BCN: Click on BCN and then on Authorization Requirements & Criteria. Scroll down and look under the Authorization criteria and preview questionnaires heading.
• For Medicare Plus Blue: Click on Blue Cross and then on Authorization Requirements & Criteria. In the Medicare Plus Blue members section, look under the heading titled Authorization criteria and preview questionnaires – Medicare Plus Blue.

Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria page.