Behavioral Health: Provider Resources
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Shared Resources
- Summary of utilization management programs for Michigan providers
— Access this document to determine which services require prior authorization - Procedure codes for which providers must request prior authorization — Access this document to determine which procedure codes require prior authorization
- Blue Cross Behavioral Health: Frequently asked questions for providers
- Documentation requirements and privacy regulations for services other than ABA
- Holiday closures: How to submit authorization requests for inpatient admissions
- Quartet Care Navigation Platform — FAQ for behavioral health providers
- Quartet flyer
- Clinical program requirements for behavioral health crisis services
- LLPs and LMFTs — Frequently asked questions
- 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
- Behavioral health fee schedule — available on our Provider Resources site, accessible through Availity® Essentials
- Log in to our Provider Resources site
- Navigate to Member Care > Behavioral Health
- Requirements for providing behavioral health services to Blue Cross commercial members
- Intensive outpatient program and partial hospitalization program: Coverage, authorization and billing guidelines
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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