Providerinfo.bcbsm.com

Landmark Health program expands to Medicare Advantage …

WEBCurrently, the program is available to a select group of Medicare Plus Blue and BCN Advantage members. Beginning July 1, 2022, we’re expanding the program to …

Actived: 1 days ago

URL: https://providerinfo.bcbsm.com/documents/alerts/2022/202205/alert-20220531-landmark-overview-1001-expansion.pdf

Resources for Health Care Providers

WEBResources for Health Care Providers. Blue Cross Blue Shield of Michigan and Blue Care Network

Category: Health Go Health

More Medicare Advantage members to become eligible for …

WEBStarting Jan. 1, 2023, Blue Cross Blue Shield of Michigan and Blue Care Network will expand the high-intensity, in-home care program provided by Landmark …

Category: Health Go Health

Availity® administrators: Set up Health e-Blue tools within …

WEBAfter registering your organization for Availity, your Availity administrator must complete the following three tasks. This document contains step-by-step …

Category: Health Go Health

Behavioral health providers: How to bill prolonged services

WEBFor prolonged behavioral health services: For Blue Cross and BCN commercial members, use HCPCS code G2212 in place of procedure codes *99354 and …

Category: Health Go Health

Provider Secured Services, including web-DENIS, end date …

WEBBlue Cross Blue Shield of Michigan and Blue Care Network are extending the original June 21, 2022, retirement date for core functions within Provider Secured …

Category: Health Go Health

CareCentrix® home health care: Improved processes for prior

WEBTitle: CareCentrix® home health care: Improved processes for prior authorization requests for Medicare Plus Blue Author: Blue Cross Blue Shield of …

Category: Health Go Health

Submitting medical records through AvailityEssentials

WEBTask 2: Register NPIs and Tax IDs to receive medical record requests through Availity Essentials. Complete the following steps: Click Claims & Payments in the Availity …

Category: Medical Go Health

Updated: Two changes for the services managed by Blue …

WEB2024. We’re making two important changes related to the services that Blue Cross Behavioral HealthSM will manage for dates of service on or after Jan. 1, 2024. …

Category: Health Go Health

Guidelines for ABA interventions via telemedicine (ABA and …

WEBEffective Nov. 1, 2021, this service is payable when delivered via telemedicine on an ongoing basis, rather than as a temporary measure. This document offers guidance in …

Category: Medicine Go Health

We’ll use updated 2023 InterQual criteria starting Feb. 1

WEBOn Feb. 1, 2024, Blue Cross Blue Shield of Michigan and Blue Care Network will start using updated 2023 InterQual® criteria to make determinations on prior …

Category: Health Go Health

Blue Cross Behavioral Health to reinstate requirements; …

WEBStarting Jan. 9, 2024, providers can submit requests for prior authorization and concurrent reviews to Blue Cross Behavioral Health: Through the provider portal. By phone. This …

Category: Health Go Health

Update: Prior authorization changes coming in June

WEBOn March 10, we updated it to include information about electronic prior authorization changes for MESSA members. Michigan’s prior authorization law requirements* go into …

Category: Health Go Health

NaviHealth to change its name to Home & Community Care

WEBOn Jan. 1, 2024, naviHealth, Inc. will change its name to Home & Community Care. This is a change only to the naviHealth name. Home & Community …

Category: Health Go Health

Explanation of lifestyle modification for weight loss drugs

WEBExamples of lifestyle modification modalities and programs, include, but are not limited to: • Recent food diaries reviewed by the member’s provider. • Recent …

Category: Food Go Health

AIM to change its name to Carelon

WEBIn March 2023, AIM Specialty Health® will change its name to Carelon Medical Benefits Management. The name change will not affect how they work with providers. For …

Category: Medical Go Health