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April 2023

Nonclinical, transitional care program available to Medicare Advantage members outside of Michigan

In 2021, we announced that Blue Cross Blue Shield of Michigan and Blue Care Network had contracted with naviHealth, an independent company, to reduce avoidable inpatient readmissions through a nonclinical, transitional care program.

In March 2023, this program became available to Medicare Plus Blue℠ and BCN Advantage℠ members outside of Michigan when they’re admitted to an acute care hospital and are then discharged to their homes.

This program is currently available to Medicare Plus Blue and BCN Advantage members who are discharged from inpatient acute care facilities in Michigan directly to their homes or to certain post-acute care facilities. To view the list of participating post-acute care facilities, see our Dec. 9 provider alert.

To learn more about the nonclinical, transitional care program, see the November 2021 Record article or the November-December 2021 BCN Provider News article.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.