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February 2021

Date change: CareCentrix to manage Medicare Advantage home health care prior authorizations starting June 1

As reported in the December 2020 issue of The Record and in the January-February 2021 issue of BCN Provider News, Blue Cross Blue Shield of Michigan and Blue Care Network have contracted with CareCentrix® to manage prior authorizations for home health care services for Medicare Plus Blue℠ and BCN Advantage℠ members.

We’re delaying the date on which this program will begin. CareCentrix will manage home health service authorizations for episodes of care starting on or after June 1, 2021.

For episodes of care that start before June 1, 2021, you don’t need to submit prior authorization requests for home health care services.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.