Home-Based Services

Blue Cross Blue Shield of Michigan requires prior authorization for home-based services as follows.

Service Members Managed by
Home health care Medicare Plus BlueSM members CareCentrix®
Private Duty Nursing* Some Blue Cross commercial groups Blue Cross Utilization Management — Submit through the e-referral system.

For information about home-based services for Blue Care Network commercial and BCN AdvantageSM members, see the BCN Home-Based Services page.

How to submit prior authorization requests

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

Submit requests before providing services.

Resources for home health care services

Resources for private duty nursing

Additional resources

Provider training for the CareCentrix program

We offer provider training. To learn more, see our Training Tools page.

*Not all groups have private duty nursing as a benefit. Check each member’s eligibility and benefits prior to performing services.

**Clicking this link means that you’re leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, we’re not responsible for its content.

CareCentrix is an independent company that manages the prior authorization of home health care services for Blue Cross Blue Shield of Michigan and Blue Care Network members who have Medicare Advantage plans.