Behavioral Health Utilization Management Criteria

Visit the following pages on bcbsm.com to access resources related to utilization management criteria:

• Summary of utilization management programs for Michigan providers — Access this document to determine which services require prior authorization
• Behavioral health: For mental health and substance use disorders — Includes information about care management and utilization management programs
• For utilization management criteria, visit the Services That Need Prior Authorization page.
• For Blue Cross and Blue Care Network medical policies, visit the Medical Policy Router Search page.