CAQH Direct Assure 2.0 phases III and IV continue to roll out

We’re continuing to roll out CAQH Direct Assure. Phase III was rolled out at the end of March for our behavioral health providers. This is an effort to assist these providers in managing their demographic data and help ensure the data accuracy of behavioral health practitioners displayed in the directory.

We’ll roll out phases IV-VI in the last month of each quarter of 2019.

We’re scheduled to roll out phase IV at the end of June to specialists who are likely to be audited by the Centers for Medicare & Medicaid Services:

• Primary care physicians
• Cardiologists
• Oncologists
• Ophthalmologists

Background
CAQH Direct Assure allows you to see specific group affiliation information that’s in our system so you can make updates and add group information to an individual provider’s CAQH record. Direct Assure also allows certain group changes made in CAQH to be updated in the Blue Cross Blue Shield of Michigan system so you no longer have to make updates in both areas — the CAQH and Blue Cross systems.

We decided to do a phased rollout to small subsets of providers. We rolled out the first phase to 4 percent of our practitioners in June 2018 and the second phase to an additional 11 percent in January 2019.

Progress to date
The providers who participated in the first phase had higher-than-average accuracy scores for demographic data and better alignment of information between our data and CAQH data. We continue to work closely with provider organizations and groups that have participating providers to obtain feedback, educate them on how to manage their data in Direct Assure and provide updates on the overall project.

If you have questions, reach out to your provider consultant or contact Provider Enrollment at 1‑800‑822‑2761.