BCN updates sleep study questionnaire in the e-referral system

BCN has updated the sleep study questionnaire in the e-referral system. We've condensed the questionnaire, so you'll have fewer questions to answer. The questionnaire pertains to sleep studies in an outpatient facility or clinic-based setting. It became available in the e-referral system starting Sept. 23, 2018.

We use the updated questionnaire in making utilization management determinations for BCN HMO^SM and BCN Advantage^SM members.

You'll find a link to the updated preview questionnaire and the medical policy titled "Sleep Disorders, Diagnosis and Medical Management" on this website. Click BCN, then click Authorization Requirements & Criteria. Next, look in the "Authorization criteria and preview questionnaires" section.

You'll also find links to these documents on the Sleep Management Program page in the BCN section of this website.

You can look over the preview questionnaire to see what questions you'll need to answer so you can prepare your answers ahead of time. This can cut down on the time it takes to submit the authorization request.

Posted: September 2018
Line of business: Blue Care Network