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July 2022

Reminder: 2% Medicare sequestration reduction slated to resume July 1

We’re reminding health care providers that Medicare sequestration reduction is scheduled to resume July 1, 2022, at 2%. Blue Cross Blue Shield of Michigan and Blue Care Network are aligned with the Centers for Medicare & Medicaid Services’ guidance regarding Medicare sequestration reductions.

You may recall that the U.S. Congress and Biden administration suspended the mandatory Medicare 2% sequestration reduction through March 31, 2022, and reduced the sequestration cuts to 1% from April through June 2022.

The suspension was made to offset the decrease in payments to health care providers because of the COVID-19 public health emergency. If the suspension is extended after June 30, we’ll update you with a provider alert.

Note: The 2% reimbursement adjustment is applied after determining any applicable member deductible, copayment or other required member out-of-pocket costs. The change won’t affect reimbursements to providers who haven’t been affected by sequestration previously.

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 codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.