Updated questionnaires to open in the e-referral system, starting Dec. 19
On Dec. 19, 2021, we'll update the following questionnaires in the e-referral system:
- Gastric stimulation — For adult Medicare Plus BlueSM, Blue Care Network commercial and BCN AdvantageSM members. This questionnaire will open for the following additional procedure codes: *95980, *95981 and *95982.
- Varicose vein treatment — For adult BCN commercial and BCN Advantage members. This questionnaire will open for the following additional procedure codes: *36465 and *37700. It will no longer open for *36469.
We'll also update the corresponding authorization criteria and preview questionnaires on this website.
As a reminder, we use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.
Preview questionnaires
You can access preview questionnaires on this website. They show the questions you'll need to answer in the questionnaires that open in the e-referral system so you can prepare your answers ahead of time.
To find the preview questionnaires:- For BCN: Click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the "Authorization criteria and preview questionnaires" heading.
- For Medicare Plus Blue: Click Blue Cross and then click Authorization Requirements & Criteria. In the “Medicare Plus Blue members” section, look under the “Authorization criteria and preview questionnaires - Medicare Plus Blue” heading.
Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria pages.
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Posted: December 2021
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network