November 2023

Newly enrolled PAs and NPs required to identify their work settings to help avoid payment issues

What you need to know

This requirement applies to newly enrolled physician assistants and nurse practitioners only. Work setting information for PAs and NPs enrolled prior to Nov. 10 will be updated automatically — there’s no action required.

Starting Nov. 10, 2023, newly enrolled physician assistants and nurse practitioners will be required to identify their work settings (primary care or specialty care) on our provider enrollment and change forms. This information is necessary to help ensure that withholds can be accurately applied and that payment issues can be resolved for PAs and NPs covering for physician specialists or primary care physicians.

The following provider enrollment and change forms have been updated to include work setting:

Allied Practitioner Enrollment Form
Allied Practitioner Change Form
New Group Enrollment Form
Group Change Form

Provider enrollment and change forms can be found in the Enrollment section of bcbsm.com/providers.

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