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May 2023
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Inside this issue for you

Here’s more information about changes that will result from end of COVID-19 public health emergency
Blue Cross expanding covered services for substance use disorders and mental health
Prior authorization processes for MESSA members to change June 1

See all the articles in this issue, grouped by category, below.

Professional

Behavioral health telehealth flexibilities for Medicare Advantage members to continue after PHE ends
MyMichigan Family Practice Center: Building a high-functioning team
Pilot kidney health management program offered to URMBT Blue Cross non-Medicare members starting in May
Don’t forget to register for 2023 virtual provider symposium sessions
New on-demand training available
Lunch and learn webinars for physicians and coders focus on risk adjustment, coding
Patient support can reduce complications when managing chronic conditions
Requirements for some medical benefit drugs change for most members
Briumvi to have site-of-care requirement for most commercial members starting July 1
Rolvedon to require prior authorization for URMBT members with Blue Cross non-Medicare plans
We made some questionnaire changes in e-referral system
Reminder: Anatomical modifiers required

All Providers

Do you know about our BlueCard processes?
Here’s more information about changes that will result from end of COVID-19 public health emergency
Blue Cross expanding covered services for substance use disorders and mental health
Prior authorization processes for MESSA members to change June 1
EDI transitioning to Availity starting in 2023
Reminder: Reporting instructions for Blue Cross or FEP supplemental when Medicare Advantage is primary payer
Billing chart: Blue Cross highlights medical, benefit policy changes

Facility

Starting June 1, requests for commercial LTACH admissions and extensions must be submitted through e-referral
COVID-19 DRG enhancements end with public health emergency
Lunch and learn webinars for physicians and coders focus on risk adjustment, coding
Reminder: Outpatient services provided during inpatient admission should be reported with inpatient claim
Requirements for some medical benefit drugs change for most members
Briumvi to have site-of-care requirement for most commercial members starting July 1
Rolvedon to require prior authorization for URMBT members with Blue Cross non-Medicare plans

For BCN news and information, see the current issue of BCN Provider News.

For news and information about our strategic goals and initiatives, see the current issue of Hospital and Physician Update.

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