Prior authorization requirements expanding for Medicare Plus Blue, BCN commercial and BCN Advantage^SM members on Jan. 1

We're expanding our prior authorization requirements for Medicare Plus Blue, BCN commercial and BCN Advantage members. You'll need to complete questionnaires in the e-referral system for additional procedure codes when you submit prior authorization requests for dates of service on or after Jan. 1, 2022.

To learn more about this change, see the detailed provider alert (PDF).

Posted: October 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network