On May 9, we updated three additional questionnaires in the e-referral system
In an earlier message, we notified you that we added and updated several questionnaires in the e-referral system. (See this news item at ereferrals.bcbsm.com for details.)
In addition to the questionnaires listed in our previous communications, we also updated the following questionnaires on May 9, 2021:
- Bariatric surgery 2 - For adult BCN AdvantageSM members
- Excess skin removal - For adult BCN commercial and BCN Advantage members
- Sacral nerve neuromodulation/stimulation - For adult Medicare Plus BlueSM, BCN commercial and BCN Advantage members
In addition, we updated the corresponding preview questionnaires on this website.
As a reminder, we use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.
Preview questionnaires
You can access preview questionnaires on this website. They show the questions you'll need to answer in the questionnaires that open in the e-referral system so you can prepare your answers ahead of time.
To find the preview questionnaires:
- For BCN: Click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the "Authorization criteria and preview questionnaires" heading.
- For Medicare Plus Blue: Click Blue Cross and then click Authorization Requirements & Criteria. In the "Medicare Plus Blue PPO members" section, look under the "Authorization criteria and preview questionnaires - Medicare Plus Blue PPO" heading.
Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria pages.
Posted: May 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network