Access & Training
Blue Cross
Referrals & Authorizations
- Prior Authorization
- Acute Inpatient Admissions
- Air Ambulance
- Autism
- Behavioral Health
- Cardiology
- Diabetes Supplies
- DME / P&O
- Home Health Care
- Medical Benefit Drugs
- Musculoskeletal Services
- Oncology
- Pain Management Services
- Pharmacy Benefit Drugs
- Post-Acute Care
- Private Duty Nursing
- Radiology
- Sleep Studies
- Transplant Services
Blue Cross Products with
Unique Requirements
Additional Resources
Private Duty Nursing
Blue Cross Blue Shield of Michigan requires prior authorization for private duty nursing as follows.
| Service | Members | Managed by |
|---|---|---|
| Private Duty Nursing* | Some Blue Cross commercial groups | Blue Cross Utilization Management — Submit through the e-referral system. |
For information about private duty nursing for Blue Care Network commercial and BCN AdvantageSM members, see the BCN Private Duty Nursing 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 private duty nursing
*Not all groups have private duty nursing as a benefit. Check each member’s eligibility and benefits prior to performing services.