Changes to Gastric stimulation and Breast reconstruction questionnaires in e-referral system

On Feb. 25, 2024, we updated questionnaires in the e-referral system.

We also updated the corresponding preview questionnaires in the Authorization criteria and preview questionnaires document on the ereferrals.bcbsm.com website.

As a reminder, we use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your prior authorization requests.

Updated questionnaires

We updated the following questionnaires in the e-referral system:

Preview questionnaires

Preview questionnaires show the questions you’ll need to answer in the e-referral system so you can prepare your answers ahead of time.

To find the preview questionnaires, see the document titled Authorization criteria and preview questionnaires.

You can access this document by going to ereferrals.bcbsm.com and doing the following:

• For Medicare Plus Blue: Click on Blue Cross and then click on Prior Authorization. Scroll down and look under the Authorization information for Medicare Plus Blue members heading.
• For BCN: Click on BCN and then click on Prior Authorization & Plan Notification. Scroll down and look under the Authorization criteria and preview questionnaires for select services heading.

Authorization criteria and medical policies

The Authorization criteria and preview questionnaires document explains how to access the pertinent authorization criteria and medical policies.