Northwood, Inc. manages prior authorizations and the supplier network for DME/P&O for the following groups and members:

• Blue Cross commercial — Fully insured groups and members with individual coverage
• Medicare Plus Blue^SM

Northwood is the preferred provider for these members.

Note: Medicare Plus Blue members must obtain continuous glucose monitor products through a network pharmacy. Prior authorization could be required. Exception: UAW Retiree Medical Benefits Trust members with Medicare Plus Blue plans must obtain CGM products through a DME supplier.

For information about DME/P&O for Blue Care Network commercial and BCN Advantage^SM members, see the BCN Durable Medical Equipment, Prosthetics and Orthotics page.

How to submit prior authorization requests

To learn how to submit requests, see our Getting Started page.

Submit requests before providing services.

Resources

• Procedure codes for which providers must request prior authorization (PDF) — See this document to determine which procedure codes require prior authorization
• Durable medical equipment, prosthetics, orthotics and medical supplies management program: Frequently asked questions for providers (PDF)
• Durable medical equipment and prosthetics and orthotics: For prior authorization determinations (PDF) - Includes information about our utilization management programs

Northwood Inc. is an independent company that manages both prior authorizations and a supplier network for durable medical equipment, prosthetics and orthotics, and medical supplies (including diabetes supplies) for various Blue Cross Blue Shield of Michigan and Blue Care Network members.