How to submit a plan notification for acute care hospital facility admissions and request for post-acute care admissions
On Thursday, April 2, we announced that clinical review requirements have been suspended through May 31 for all admissions to acute care hospitals and for transfers to skilled nursing facilities. For acute care hospital facility and transfers to post-acute care admissions, there is one step required - submitting a plan notification for each admission. Here's what you need to know about these plan notifications:
- A plan notification is a request for authorization submitted through e-referral.
- No clinical documentation is required with this submission. This includes any request that pends for review.
- For inpatient hospital admissions for all lines of business: submit via e-referral.
- For Blue Cross' PPO and BCN HMOSM post-acute requests: submit via e-referral or by fax.
- For Medicare Plus BlueSM PPO and BCN AdvantageSM requests: submit to naviHealth.
- Some of these submissions will receive real-time approval. Blue Cross Blue Shield of Michigan and Blue Care Network will respond to requests that pend within two hours during normal business hours.
- Some submissions sent after business hours or on weekends will receive real-time approval. Blue Cross and BCN will respond to requests that pend with approval the next business day.
Posted: April 2020
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network