Changes coming to prior authorization process for post-acute care services for Medicare Advantage members

In the fourth quarter of 2024, Home & Community Care (formerly known as naviHealth, Inc.) will no longer manage prior authorizations for post-acute care services for Medicare Plus Blue℠ and BCN Advantage℠ members.

Post-acute care services will continue to require prior authorizations, but they will be managed by Blue Cross Blue Shield of Michigan and Blue Care Network.

Watch for provider alerts and articles in The Record and BCN Provider News with additional information about this change, including:

• Training, which will include program requirements and more
• Updates to our provider communications and documents for this program

Home & Community Care is an independent company that manages prior authorizations for post-acute care services for Blue Cross Blue Shield of Michigan and Blue Care Network members who have Medicare Advantage plans.