Behavioral Health
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
For information about autism services, visit the Autism Services page.
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
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
How to submit prior authorization requests
To learn how to submit requests, see our Getting Started page.
Submit requests before providing services.
Behavioral Health Resources:
Utilization Management Criteria
Provider Resources
Provider Manuals
Telehealth Resources for Providers
Patient Care Resources
*Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. While we recommend this site, we're not responsible for its content.