Clarifying biofeedback and neurofeedback authorization requirements for BCN members

When submitting authorization requests for biofeedback and neurofeedback for BCN HMOSM (commercial) and BCN AdvantageSM members, there are things you have to do differently for each. Here's what you need to know.

Biofeedback is covered, when authorized, for specific medical diagnoses and not for behavioral health diagnoses.

In the future, you'll also need to complete a questionnaire for biofeedback in the e-referral system. Look for more information about that in upcoming web-DENIS messages and articles in BCN Provider News.

Neurofeedback is covered, when authorized, for specific behavioral health diagnoses only.

Instructions for attaching a document from the member's medical record are outlined in the article How to attach clinical information to your authorization request in the e-referral system, in the November-December 2016 BCN Provider News, on page 44. These instructions are also in:

The Care Management and Behavioral Health chapters of the BCN Provider Manual will be updated with these clarifications.

Posted: February 2019
Line of business: Blue Care Network