Medicare Plus Blue^SM PPO expands prior authorization program to genetic, molecular testing

Blue Cross Blue Shield of Michigan will expand its prior authorization program with eviCore healthcare later this year to include genetic and molecular testing services for our Medicare Plus Blue PPO members who reside in Michigan and use Michigan providers.

Providers will need to request prior authorization for these services from eviCore.

The expansion of prior authorization is intended to eliminate the use of certain tests that are not medically necessary to improve patient care and manage health care costs.

We'll provide more details about these changes in future issues of The Record. We'll also announce opportunities for training on the prior authorization expansion on web-DENIS.

Posted: July 2020
Line of business: Blue Cross Blue Shield of Michigan