Northwood, Inc. manages prior authorizations and the supplier network for diabetes supplies (including blood glucose monitors and testing supplies, and insulin pumps and supplies) for the following members:

• Blue Care Network commercial
  
  Exception: BCN commercial members who have pharmacy benefits through BCN can obtain certain DME, including continuous glucose monitor, or CGM, products, from participating network pharmacies. Prior authorization could be required.
• BCN Advantage^SM
  
  Exceptions:
• BCN Advantage members must obtain CGM products through a participating network pharmacy. Prior authorization could be required.
• UAW Retiree Medical Benefits Trust members with BCN Advantage plans must obtain CGM products through a DME supplier.

For information about diabetes supplies for Blue Cross Blue Shield of Michigan commercial and Medicare Plus Blue^SM members, see the Blue Cross Diabetes Supplies 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)
• Continuous glucose monitor products: FAQs for prescribing providers (PDF)
• Diabetes: For coaching, management, remission, supplies and more (PDF) — Includes information about care management and 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.