Assistance is available for post-acute care placements

Blue Cross Blue Shield of Michigan, Blue Care Network and naviHealth recognize the strain that the rise in COVID-19 hospitalizations has placed on our hospital partners, and we’re here to help.

If you're struggling to find placements in skilled nursing facilities, inpatient rehabilitation facilities or long-term acute care hospitals for members with Blue Cross commercial, Medicare Plus BlueSM, BCN commercial or BCN AdvantageSM plans, follow these suggestions, which will allow us or naviHealth to support these transitions.

Skilled nursing facility information

Although clinical review requirements are temporarily suspended for admissions from acute-care hospitals to skilled nursing facilities, Blue Cross, BCN and naviHealth continue to be responsible for managing authorizations for members who meet waiver criteria once they're admitted to a post-acute care setting. (See this Provider Alert (PDF) for details about the temporary suspension of clinical review.)

When transferring members to SNFs, continue to notify Blue Cross, BCN or naviHealth via the appropriate prior authorization process.

Additional information

For more information, see the document titled Post-acute care: For skilled nursing, rehabilitation and long-term acute care facilities (PDF).

Thank you for your continued efforts to keep Michigan healthy and safe.

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