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June 2024

Change coming to nonclinical, transitional care program through Home & Community Care

Currently, the nonclinical, transitional care program through Home & Community Care (formerly known as naviHealth, Inc.) is available to Medicare Plus Blue℠ and BCN Advantage℠ members who are discharged to their homes or certain post-acute care facilities in Michigan from acute inpatient facilities. This program aims to reduce avoidable inpatient readmissions.

On May 31, 2024, Home & Community Care will discontinue this 30-day program for members who are discharged to their homes. As a result, Home & Community Care navigation specialists won’t contact members discharged after May 1. This will ensure all members engaged in the program complete it by May 31.

Starting June 1, 2024, the program will be available only to our Medicare Advantage members discharged to certain post-acute care facilities in Michigan. For more information about the program and to view the list of post-acute care facilities, see the document Nonclinical, transitional care program for Medicare Advantage.

We’ll update our communications, including the document linked above, by June 1 to reflect this change.
Blue Cross Blue Shield of Michigan and Blue Care Network are working to develop a plan to ensure seamless care for members who are discharged to their homes and are at low risk for readmission.

Home & Community Care is an independent company that provides nonclinical, transitional care services for Blue Cross Blue Shield of Michigan and Blue Care Network members who have Medicare Advantage plans.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2023 American Medical Association. All rights reserved.