Updated questionnaires in the e‑referral system

We updated questionnaires in the e-referral system in July and August. We also added and updated the corresponding preview questionnaires on the ereferrals.bcbsm.com website.

Updated questionnaires
We updated the following questionnaires:

• On July 11, 2021, we updated the Enteral nutrition questionnaire for pediatric and adult BCN commercial and BCN Advantage℠ members.
  
  For questionnaires submitted on or after July 11, 2021, approved authorization requests for this service are valid for six months. (For questionnaires submitted on or before July 10, approved authorization requests were valid for three months.)

• On July 25, 2021, we updated the following questionnaires for adult and pediatric BCN commercial and BCN Advantage members:
• Out-of-network providers
• Sleep studies

• On Aug. 29, 2021, we updated the following questionnaires:
• Orthognathic surgery — For adult and pediatric BCN commercial and BCN Advantage members
• Vascular embolization or occlusion of hepatic tumors (TACE/RFA) — For adult Medicare Plus Blue℠, BCN commercial and BCN Advantage members. This questionnaire now opens for procedure code *75894, and it continues to open for procedure codes *37242 and *37243.

As a reminder, we use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.

Preview questionnaires
You can access preview questionnaires at ereferrals.bcbsm.com. They show the questions you'll need to answer in the actual questionnaires that open in the e-referral system. This can help you prepare your answers ahead of time.

To find the preview questionnaires:

• For BCN: Click on BCN and then click on Authorization Requirements & Criteria. Scroll down and look under the Authorization criteria and preview questionnaires heading.
• For Medicare Plus Blue: Click on Blue Cross and then click on Authorization Requirements & Criteria. In the Medicare Plus Blue members section, look under the Authorization criteria and preview questionnaires - Medicare Plus Blue heading.

Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria page.