October 2021
Oncology management program to include MESSA group members, starting Jan. 1, 2022
Beginning Jan. 1, 2022, MESSA will opt in to the Blue Cross Blue Shield of Michigan utilization management program for medical oncology medications.
This means that for dates of service on or after Jan. 1, 2022, providers will need to request prior authorization from AIM Specialty Health® for certain medical oncology and supportive care medications for MESSA group members.
To ensure continuity of care, MESSA members already receiving these medications as of Dec. 31, 2021, will be automatically authorized through June 30, 2022.
Note: AIM, an independent company, manages authorizations for medical oncology drugs. It doesn’t manage those drugs when prescribed for non-oncology diagnoses. When prescribing these drugs for non-oncology diagnoses for dates of service on or after Jan. 1, don’t submit the prior authorization request to AIM. Instead, fax all clinical documentation to the Blue Cross Pharmacy Help Desk at 1-866-915-9187.
How to submit authorization requests to AIM
Submit authorization requests to AIM using one of the following methods:
More about authorization requirements
Authorization isn’t a guarantee of payment. As always, health care practitioners need to verify eligibility and benefits for members.
For additional information on requirements related to drugs covered under the Blue Cross medical benefit, see:
We’ll update these lists before the effective date for MESSA members.
More about AIM medical oncology management program
For more information about the AIM medical oncology program, see:
The AIM oncology management program is already in effect for:
- Blue Cross commercial fully insured members
- UAW Retiree Medical Benefits Trust members with a Blue Cross non-Medicare plan (This doesn’t include UAW Retiree Healthcare Trust, group 70605, and UAW International Union, group 71714, both of which are separate from URMBT.)
- Medicare Plus Blue℠ members
- BCN commercial members
- BCN Advantage℠ members
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