Blue Cross enhances Medicare Plus Blue attribution model by adding PCP Select option

Blue Cross Blue Shield of Michigan is adding a new option to the retrospective claims-based Medicare Plus Blue℠ attribution model. PCP Select will give Medicare Plus Blue members the option to select primary care providers in their member portal or mobile phone applications. Members who select primary care providers in the portal will be attributed based on the primary care providers they selected, rather than on the standard claims model.

PCP Select should be available to members beginning May 1, 2024. Medicare Plus Blue members who choose not to select a primary care provider will continue to be attributed based on the standard claims model. Selecting a primary care provider in the member portal won’t limit which providers a member can see for care, nor will it affect a member’s benefits or claims payments. Instead, it will allow for quicker and more efficient attribution, which will improve data sharing and financial operations.

What you need to know

• Members will be notified of this option when they log in to their member portal accounts after PCP Select is available.
• Instructions on the portal will advise members to select a primary care provider only after they’ve established care with that provider (for example, have had visits with the provider and plan to continue seeing the provider for primary care). We encourage this, but it’s not a requirement.
• If members need help with the selection process, they can call the Customer Service number on the back of their member ID card.

If providers have questions about this Medicare Plus Blue attribution enhancement, call Provider Inquiry at 1-866-309-1719.