Behavioral Health
Blue Care Network provides materials and resources to assist you with your behavioral health referrals. In addition to the information listed on this page, you can access the complete version of the BCN Provider Manual and other behavioral health resources including the BCN Behavioral Health Fee Schedule on web-DENIS in BCN Provider Publications and Resources.
Thank you to those who completed the Behavioral Health Quality Improvement Program Survey. The survey completion period has ended. Please watch for more information about BCN's new behavioral health quality improvement program in BCN Provider News.
Forms for requesting clinical review
Other resources
- Behavioral health screening tools
- Behavioral Health utilization management criteria (PDF)
- Useful tools and hints for BCN behavioral health providers (PDF)
- BCN Provider Manual — Behavioral Health chapter (PDF)
- Frequently asked questions — behavioral health electronic referrals (PDF)
- Web-based training: e-referral for behavioral health providers
- Instructions for filling out CMS-1500 form (PDF)
- Updating BCN provider information (PDF)
Contact information
- Provider Inquiry Contact Information
Call for general assistance with behavioral health services, including:
- Assistance in arranging services
- Request authorization for services
- Discuss or receive information on criteria used to render an authorization decision
- Claims inquiries
The only exceptions are for prior authorization for psychological assessment prior to bariatric surgery and authorization for acute detoxification services. For these situations call 1-800-392-2512. - BCN Behavioral Health Provider Servicing Assistance
Go to the Provider contact us section of bcbsm.com or use the appropriate regional phone number listed in the table below for assistance with the following:
- Enrollment and credentialing questions
- Contractual issues
- Recurring problems or unresolved issues
- Education and training assistance on BCN policies, procedures and programs
Not sure which BCN region you're in? View our map (PDF).
| Region | Major Cities | Phone number |
|---|---|---|
| East | Bay City, Flint, Midland, Saginaw | 1-800-527-1906 |
| Mid | Lansing | 1-877-258-0168 |
| Southeast | Detroit, Ann Arbor, Southfield, Port Huron | 734-332-2949 (Christina Caldwell) |
| West | Grand Rapids, Kalamazoo, Traverse City, Alpena | 616-956-5723 (Cynthia Swain) |
| Upper Peninsula | Marquette, Houghton, St. Ignace | 906-228-5457 |