Medicare Advantage post-acute care: New 30-day limit on documents in naviHealth's nH Access™ portal
Effective Feb. 11, 2022, documents for Medicare Plus BlueSM and BCN AdvantageSM members will be available within nH Access for only 30 days from the day they were posted.
If you need access to a document after it’s been removed from nH Access, contact your naviHealth care coordinator.
If you have questions about this change, contact your local naviHealth provider relations manager. If you aren't sure who your naviHealth provider relations manager is, send an email to umproviderconcerns@bcbsm.com.
naviHealth is committed to improving the post-acute care experience for our Medicare Advantage members. As part of this commitment, naviHealth provides access to patient information and documentation during the prior authorization process by making documents available through nH Access.
As a reminder, naviHealth:
- Authorizes patient-driven payment model levels during the patient's skilled nursing facility stay (from preservice through discharge).
- Authorizes PDPM levels based on medical necessity review and their proprietary naviHealth Predict functional assessment.
- Works with SNFs to ensure billers submit proper PDPM levels for reimbursement.
For more information, see Post-acute care services: Frequently asked questions for providers (PDF).
naviHealth Inc. is an independent company that manages authorizations for post-acute care services for Blue Cross Blue Shield of Michigan and Blue Care Network members who have Medicare Advantage plans.
Posted: December 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network