SNFs must register for and learn the e-referral system before submitting commercial SNF authorization requests through e-referral starting Dec. 1

Starting Dec. 1, 2020, skilled nursing facilities must submit authorization requests for Blue Cross' PPO and BCN HMOSM members through the e-referral system and not by fax.

Currently, SNFs are completing a form and submitting it by fax. Starting Dec. 1, you'll still need to complete the form, but you'll attach it to the request in the e-referral system instead of faxing it.

This requirement will apply to requests for admissions and requests for additional SNF days.

We've communicated about this before and now we’re sharing these new details:

To prepare for this change, there are three important things you need to do right away.

  1. Register now for access to the e-referral system
    We encourage you to register now for access to the e-referral system. It takes some time to process registration requests and we want to make sure everyone has access before Dec. 1.

    To register, follow the instructions on the Sign Up or Change a User webpage on this website.
  2. Use the online tools to learn the e-referral system — before attending a webinar

    Visit the Training Tools page of this website for:

    It's important that you use the online tools to learn how to use the e-referral system before attending a webinar — especially:

    • Checking member eligibility and benefits
    • Submitting an inpatient authorization request
    • Attaching a document to the authorization request
  3. Sign up for a webinar overview of the e-referral system
    To supplement what you learned through the online tools, we're offering webinars that are tailored to SNFs. Each webinar is 1 hour and 30 minutes and includes time for questions and answers.

    Click on one of the links below to sign up for a webinar:
Date and time WebEx link
Tuesday, November 10
10 to 11:30 a.m.
Click here to register
Wednesday, November 11
2 to 3:30 p.m.
Click here to register
Thursday, November 12
10 to 11:30 a.m.
Click here to register
Tuesday, November 17
2 to 3:30 p.m.
Click here to register
Wednesday, November 18
10 to 11:30 a.m.
Click here to register
Thursday, November 19
2 to 3:30 p.m.
Click here to register
Tuesday, December 1
10 to 11:30 a.m.
Click here to register
Wednesday, December 2
2 to 3:30 p.m.
Click here to register

Posted: September 2020
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network