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July 2022

All behavioral health practitioner specialty changes require new enrollment

A new mental health practitioner enrollment application is required when you’re making changes to your specialty or licensure. Any groups you currently practice with will need to update their records to reflect your change.

For information on enrollment and credentialing with Blue Cross Blue Shield of Michigan, visit the Join Our Provider Network section of bcbsm.com. The credentialing process verifies the licenses and qualifications of a health care provider and ensures that they meet the state requirements for health care.

Additionally, you’ll want to make sure you’re reviewing and submitting all required documents for your new specialty or license. See the Provider Enrollment and Change Process Required Document Checklist, which is also on our website.

Examples:

  • If you’re a limited licensed psychologist, or LLP, who has recently become a fully licensed psychologist, a new mental health enrollment application is required. After your new enrollment application is processed, you must submit a request to terminate the LLP profile.
  • If you’re a clinical licensed master’s social worker, or LMSW, who has recently become a licensed professional counselor, a new mental health enrollment application is required. After new mental enrollment application is processed you must submit a request to terminate the LMSW profile.

Note: You can terminate the previous profile by filling out and faxing the “Terminate Practitioner” paperwork in the Provider Enrollment section of our website.

If you have any questions or need additional information, contact Provider Enrollment Data Management at 1-800-822-2761.

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.