Overview of care management and utilization management programs now available

Blue Cross Blue Shield of Michigan and Blue Care Network have implemented many care management programs for members and utilization management programs for providers.

These programs vary based on member coverage and may be administered by Blue Cross or BCN staff or by contracted vendors.

We recently published the Care management and utilization management programs: Overview for providers (PDF) document to help you navigate these programs. This information may help you to identify services that could be useful to your patients or to learn more about programs in which your patients are participating.

In the overview document, we've:

To see more detail about the programs, click a category heading. A document will open that provides:

You can access the overview document by clicking the Quick Guides link (under Additional Resources) on this website and then clicking the Care management and utilization management programs: Overview for providers link.

We announced the publication of the Care management and utilization management programs: Overview for providers document in the December 2021 issue of The Record. We’ll also report it in the January-February 2022 issue of BCN Provider News.

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