CHANGE: TurningPoint will manage musculoskeletal procedure authorizations with dates of service on or after July 1, 2020, for certain members

Due to the COVID-19 pandemic, we're delaying the date on which TurningPoint Healthcare Solutions, LLC will begin managing authorizations for spine and joint replacement surgeries and other related procedures. This applies to Medicare Plus Blue^SM PPO, BCN HMO^SM (commercial) and BCN Advantage^SM members.

TurningPoint will manage musculoskeletal procedure authorizations for dates of service on or after July 1, 2020. You'll be able to begin submitting authorization requests to TurningPoint on June 1.

You don't need to do anything different until June 1. For dates of service prior to July 1, 2020, Medicare Plus Blue Utilization Management and BCN Utilization Management will continue to manage these authorizations, as they do today.

We're also delaying webinars for professional providers and facilities about TurningPoint's clinical model. For professional providers, these webinars will include a demonstration of their Provider Portal. Watch for web-DENIS messages about new webinar dates.

We apologize for any inconvenience, and we'll update our communications to reflect this change.

Posted: April 2020
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network