Participation Agreements

Medicare Advantage PPO provider agreement and contract amendments for MA PPO and PFFS

The Medicare Advantage PPO Provider Agreement includes a base agreement that applies to all providers and attachments specific to certain provider types.

• BCBSM Medicare Advantage PPO Provider Agreement (PDF)
• BCBSM Medicare Advantage PPO Provider Agreement attachments:
  • Practitioner attachment (PDF)
  • Hospital attachment (includes psychiatric hospitals) (PDF)
  • Nonhospital facility attachment (PDF)
  • Nonhospital hospice facility attachment (PDF)
  • Rural health clinic attachment (PDF)
  • Federally qualified health clinic (PDF)
• BCBSM Medicare Advantage PFFS Provider Agreement attachments
  • Practitioner attachment (PDF)
  • Hospital attachment (includes psychiatric hospitals) (PDF)
  • Nonhospital facility attachment (PDF)
  • Rural health clinic attachment (PDF)
  • Federally qualified health clinic (PDF) 
• BCBSM Medicare Advantage PFFS Terms and Conditions (PDF)