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May 2022

Members can get Nonopioid Directive form on our website

Blue Cross Blue Shield of Michigan members can obtain the Nonopioid Directive form at bcbsm.com. We’ve posted the form on our website in response to a Michigan law** that allows patients to refuse opioid medications by signing a form that their health care provider can then place in their medical records.

There are four ways members will be able to access the form:

  • Health care providers can let patients know they can log in to their online member account at bcbsm.com, click on Forms and then scroll to Directives to find the form.
  • We’ll include the form in new member enrollment welcome kits starting July 1, 2022.
  • It’s available on the Michigan Department of Health and Human Services website.**
  • It can be found on our member-facing Health and Well-Being page. From the homepage, scroll down the page to the Opioid Use Disorder box. Under the box is a link to the Nonopioid Directive form.

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.

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.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.