Fax authorization requests for BCN members moving to a SNF, rehabilitation facility or LTACH

Please fax all authorization requests to BCN for post-acute care services for BCN HMO^SM (commercial) and BCN Advantage^SM members. This applies to members transitioning to a skilled nursing facility, a rehabilitation facility or a long-term acute care hospital.

Here's what you need to know

• Fax authorization requests to 1-866-534-9994. We accept faxed requests 24 hours a day, seven days a week.


• Normal business hours for BCN post-acute care staff are Monday through Saturday, 8 a.m. to 5 p.m.


• The on-call nurse is available to assist with admissions on Sundays and holidays and at other times outside of normal business hours. During those times, call the on-call nurse at 1- 800-851-3904 and fax the documentation to 1-866-534-9994.

Here's what to fax

For SNF and rehabilitation admissions, fax these documents:

• A completed Rehabilitation Assessment Form
• History and physical from the hospital admission
• Physical medicine and rehabilitation consultation notes, as appropriate

For LTACH admissions, fax these documents:

• A completed LTACH Assessment Form
• History and physical from the hospital admission
• Physical medicine and rehabilitation consultation notes, as appropriate
• Last two days of practitioner progress notes (admission and concurrent)
• Current intravenous and subcutaneous medication lists

The forms are available on this website, on the BCN Forms page.

A summary of these instructions is available on this website. Click BCN and then click Authorization Requirements & Criteria. Finally, click Post-acute care admissions: Submitting authorization requests to BCN.

The Care Management chapter of the BCN Provider Manual is being updated to reflect this information.

Posted: September 2018
Line of business: Blue Care Network