Behavioral Health
Clinical Program Requirements
Patient Care Resources
Provider Manuals
Provider Resources
Telehealth Resources
Blue Cross Behavioral Health℠ 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 Blue℠
- Blue Care Network commercial
- BCN Advantage℠
For information about autism services, visit the Autism Services page.
For information about behavioral health services for dates of service before Jan. 1, 2024, reference the following documents:
- Behavioral health information for dates of service before Jan. 1, 2024
— for Blue Cross commercial and Medicare Plus Blue - Behavioral health information for dates of service before Jan. 1, 2024 — for BCN commercial and BCN Advantage
To find out more about 2024 changes:
- Blue Cross Behavioral Health Updates 2024 Webinar
- Blue Cross Behavioral Health Provider Portal Error Issue – Authorization not found
Out-of-network providers can use the following online forms to submit requests:
- TMS Authorization Request Form
- Psychological and Neuropsychological Testing Request Form
- Prior Authorization Form — for other behavioral health services
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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