Behavioral Health: Provider Resources
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Shared Resources
- Summary of utilization management programs for Michigan providers
— See this document to determine which services require prior authorization - Procedure codes for which providers must request prior authorization — See this document to determine which procedure codes require prior authorization
- Blue Cross Behavioral Health: Frequently asked questions for providers
- Clinical program requirements for behavioral health crisis services
- Documentation requirements and privacy regulations for services other than ABA
- Holiday closures: How to submit authorization requests for inpatient admissions
- LLPs and LMFTs — Frequently asked questions
- Quartet Care Navigation Platform — FAQ for behavioral health providers
- Quartet flyer
- Depression tip sheet — for primary care providers
- HEDIS tip sheet for antidepressant medical management
- Behavioral health: For mental health and substance use disorders — Includes information about care management and utilization management programs
BCN Resources
Blue Cross Resources
- Requirements for providing behavioral health services to Blue Cross commercial members
- Intensive outpatient program and partial hospitalization program: Coverage, authorization and billing guidelines
- Blue Cross Commercial Provider Manual — See the Provider Manuals page on bcbsm.com to learn how to access our provider manuals
- Medicare Plus Blue PPO Provider Manual
Carelon Medical Benefits Management is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to manage prior authorizations for select services.
Frequently accessed documents
Additional resources
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