Michigan State University has two Blue Care Network health plans with unique referral requirements. These referral requirements are described here. For more information, see the Member Benefits chapter of the BCN Provider Manual. Here's how to find it:

1. Log in to our provider portal (availity.com*).
2. Click Payer Spaces on the menu bar and then click the BCBSM and BCN logo.
3. Click the Resources tab.
4. Click Secure Provider Resources (Blue Cross and BCN).
5. Click the Publications menu and then click Manuals.
6. Click the BCN commercial and BCN Advantage link.

Michigan State University plan

This plan covers MSU employees who do not have Medicare as their primary coverage.

The Michigan State University plan does not require referrals or plan notification in order to process and pay claims, but some services require authorization regardless of whether they are performed at the in-network or out-of-network benefit level. Some preventive services, such as physical exams and immunizations, are only covered when provided in network.

Refer to the Michigan providers: BCN global referral, plan notification and prior authorization requirements (PDF) for information about which services require authorization. This document is available on the BCN Authorization Requirements & Criteria page on this website.

MSU Plan 65 (for MSU employees and retirees)

This plan covers MSU employees and retirees who have Medicare as their primary coverage. Referrals and plan notification are not required for claims payment for members with this coverage. Also, no authorizations are required, except for:

• Home infusion services not covered by Medicare
• Inpatient care when Medicare days are exhausted

*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.