Autism Services
Blue Cross Behavioral HealthSM manages prior authorizations for behavioral health services (for mental health and substance use disorders) for the following members:
- Blue Cross Blue Shield of Michigan commercial
- Medicare Plus BlueSM
- Blue Care Network commercial
- BCN AdvantageSM
To find out more about 2024 changes:
Out-of-network providers can use the following online forms to submit requests:
For information about autism services for dates of service before Jan. 1, 2024, reference:
- Autism information for dates of service before Jan. 1, 2024
— for Blue Cross commercial and Medicare Plus Blue - Autism information for dates of service before Jan. 1, 2024 — for BCN commercial and BCN Advantage
Note:
Autism benefits for Blue Cross commercial, and BCN commercial members comply with Michigan-mandated benefits. The mandate doesn’t apply to some self-funded employer groups or to Medicare Advantage or Medicare supplement plans, such as Medicare Plus BlueSM, Blue Cross Complete (Medicaid), BCN AdvantageSM or MyBlue MedigapSM. Always check member benefits and eligibility.
How to submit prior authorization requests
To learn how to submit requests, see our Getting Started page.
Submit requests before providing services.
Utilization management criteria
To view, visit our Utilization management criteria page.
Frequently accessed documents
Additional resources
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