November 2021

CareCentrix home health care program: Updated training resources, new and updated documents available

CareCentrix^® manages prior authorizations for home health care services for Medicare Plus Blue℠ and BCN Advantage℠ members as follows:

For episodes of care that start on or after June 1, 2021
For episodes of care that started prior to June 1, 2021, when one of the following occurs on or after June 1: Recertification is needed, resumption of care is needed or there’s a significant change in condition

Where to find CareCentrix home health care resources

You can find the training resources and links to the documents related to this program on the following pages of the ereferrals.bcbsm.com website:

Our updated training resources

Based on provider feedback, we updated the webinar recording and the PDF of the webinar presentation. These updated resources are available on our dedicated provider training site.

For information about accessing this site, see the webpages in the links above.

More about new and updated documents

We’ve added these documents:

Home health care: Clinical documentation requirements
Home health care: Submitting authorization requests to CareCentrix
Home health care: Linking your agency’s NPI(s) and TIN(s)

We’ve clarified and added information in these documents:

Home health care: Frequently asked questions for providers
Home health care: Quick reference guide

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT copyright 2020 American Medical Association. All rights reserved. CPT^® is a registered trademark of the American Medical Association.