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