The Record

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March 2018
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You can join our Physician Group Incentive Program as an organized system of care
We encourage our participating network physicians and organized systems of care to get involved in the Physician Group Incentive Program, which has been improving the quality and efficiency of health care in Michigan for more than a decade. Read more.

Inside this issue for you

See all the articles in this issue, grouped by category, below.

Professional

Blue Cross and BCN changing professional provider consultant model
Provider forums coming to a town near you
Caution: Antibiotics don’t cure viruses
6 drugs added to commercial PPO 15-Day Specialty Drug Limitation Program
FEP programs help members manage chronic conditions
Direct reimbursement available to eligible therapists and psychologists, beginning June 1
Reimbursement policy update coming in behavioral health
Starting April 2, 2018, non-emergency air ambulance services require authorization for commercial members
Reminder: Blue Cross’ concierge medicine policy
Chorionic Gonadotropin and Novarel^® changing tiers on March 1; cost-effective alternative available
Blue Cross, BCN no longer covering hyaluronic acids, starting April 1
Prevent unnecessary delays: Include key information for oncology pharmacy prior authorization drug requests
Most immune globulin infusions will not be covered at outpatient hospital facilities starting April 1, 2018
Guidelines for timely member access to health care professionals
Reminder: Procedure codes G0422 and G0423 are experimental for all groups, except FEP

All Providers

You can join our Physician Group Incentive Program as an organized system of care
Annual CAHPS^® survey goes out soon
Battling the opioid epidemic
Tell us what you think about our provider manuals and you could win a prize
Updated Provider Training webpage offers all the learning resources you need
Changes coming to the way we handle provider audits
Coding corner: Vascular disease
Blue Cross and BCN will no longer cover Alvesco^®
Amerigroup not affiliated with Blue Cross Blue Shield of Michigan or Blue Care Network
HCPCS, CPT updates and early release codes
Billing chart: Blues highlight medical, benefit policy changes

Pharmacy

6 drugs added to commercial PPO 15-Day Specialty Drug Limitation Program
Chorionic Gonadotropin and Novarel^® changing tiers on March 1; cost-effective alternative available
Blue Cross, BCN no longer covering hyaluronic acids, starting April 1
Prevent unnecessary delays: Include key information for oncology pharmacy prior authorization drug requests

Facility

Most immune globulin infusions will not be covered at outpatient hospital facilities starting April 1, 2018
Guidelines for timely member access to health care professionals
Reminder: Procedure codes G0422 and G0423 are experimental for all groups, except FEP

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