Starting Sept. 26, new questionnaires to open in the e-referral system
On Sept 26, 2021, we'll add the following questionnaires in the e-referral system for BCN commercial and BCN Advantage members:
- Cognitive rehabilitation: Will open for adult and pediatric members
- Hypoglossal nerve stimulator – condition trigger: Will open for members ages 10 through 21
- Hypoglossal nerve stimulator — adolescent or young adult: Will open for members ages 18 through 21
- Hypoglossal nerve stimulator — adolescents with Down syndrome: Will open for members ages 10 through 21 who have Down syndrome
- Hypoglossal nerve stimulator — adults: Will open for members ages 22 and older
We'll also add preview questionnaires on this website.
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 on this website. 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, click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the "Authorization criteria and preview questionnaires" heading.
Authorization criteria and medical policies
The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria page.
*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.
Posted: September 2021
Line of business: Blue Care Network