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June 2024

New webpage provides Medicare Advantage prior authorization clinical review criteria in one convenient location

Blue Cross Blue Shield of Michigan and Blue Care Network’s Medicare Advantage plans (Medicare Plus Blue℠ PPO, BCN Advantage℠ HMO, BCN Advantage℠ HMO-POS) require prior authorization for certain benefits.

Blue Cross and BCN recently launched the Medicare Advantage Prior Authorization webpage on bcbsm.com where you can quickly find clinical review criteria associated with services that require prior authorization. This new webpage puts the information you need in one convenient location.

Reminder

Before rendering services, make sure you check benefits, eligibility and medical policy coverage guidelines, using the self-service tools on our provider portal at availity.com.**

**Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website.

Availity® is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal and electronic data interchange services.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

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