Reminder: Starting Jan. 1, requests for commercial SNF admissions must be submitted through e-referral and not by fax

As a reminder, beginning Jan. 1, 2022, we'll require skilled nursing facilities to submit prior authorization requests through the e-referral system and not by fax. This applies to requests for our Blue Cross and Blue Care Network commercial members for:

We published details about this change in recent issues of our provider newsletters.

What's changing

Starting Jan. 1:

If we receive a faxed form for a non-urgent admission when the e-referral system is available, we won't accept the request. We'll notify you by fax or phone that you must submit the request through the e-referral system.

Sign up now to use the e-referral system

Refer to our website:

Do's and don'ts when submitting through the e-referral system

For tips on how to make it easier to use the e-referral system when submitting commercial SNF prior authorization requests, refer to the article we published in the May 2021 issue of The Record titled Do's and don'ts when submitting commercial SNF requests using the e referral system.

Submit Medicare Advantage requests to naviHealth

naviHealth manages prior authorization requests for SNF admissions for our Medicare Plus BlueSM and BCN AdvantageSM members.

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