Northwood to manage outpatient diabetes supplies for some members, starting Jan. 1

Starting Jan. 1, 2024, Northwood Inc., an independent company, will manage outpatient diabetes supplies that are covered under the medical benefit for members with:

• Medicare Plus Blue℠
• Blue Care Network commercial
• BCN Advantage℠

For these members, Northwood will:

• Maintain the statewide provider network for durable medical equipment and prosthetic and orthotic supplies and services.
• Receive and make determinations on prior authorization requests.
• Process and pay claims for covered services.

Outpatient diabetes supplies include items such as continuous glucose monitors, insulin pumps and supplies, and testing supplies.

Contact Northwood starting Jan. 1

Starting Jan. 1, for diabetes supplies for Medicare Plus Blue, BCN commercial and BCN Advantage members, health care providers can call Northwood's Customer Service department at 1 800-393-6432 to locate the nearest supplier contracted with Northwood. The contracted supplier will:

• Submit the prior authorization requests to Northwood for review.
• Submit the claims directly to Northwood.

Providers who currently submit orders directly to J&B Medical may continue to do so. J&B Medical is an independent company that participates in the Northwood network.