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July 2021

Updated questionnaire available in e‑referral system

What you need to know
When we make utilization management determinations on your authorization requests, keep in mind that we use:

  • Our authorization criteria
  • Our medical policies
  • Your answers to the questionnaires in the e‑referral system

On May 9, 2021, we updated the Sacral nerve neuromodulation/stimulation questionnaire in the e‑referral system.

We also updated the corresponding preview questionnaire on the ereferrals.bcbsm.com website. It shows the questions that appear in the e-referral system, so you can prepare your answers ahead of time.

To find the preview questionnaire:

  1. Click on Authorization Requirements & Criteria.
  2. In the section titled For Medicare Plus Blue PPO members, look under the label titled Authorization criteria and preview questionnaires — Medicare Plus Blue PPO.

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

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