Updated e-referral questionnaires to open Sept. 29 for BCN and Medicare Plus Blue^SM PPO

Starting Sept. 29, 2019, updated questionnaires will open in the e-referral system for certain procedures. In addition, updated preview questionnaires and authorization criteria will be available on this website.

We use our authorization criteria and medical policies and your answers to the questionnaires when making utilization management determinations on your authorization requests.

Updates to existing questionnaires

Updated questionnaires will open in the e-referral system starting on Sept. 29 for the following services:

• Cervical spine fusion with artificial disc replacement - opens for BCN HMO^SM and BCN Advantage^SM
• Dental anesthesia or repair of trauma to natural teeth - opens for BCN HMO and BCN Advantage
• Noncoronary vascular stents - opens for BCN HMO, BCN Advantage and Medicare Plus Blue

Preview questionnaires

For all of these services, you'll soon be able to access preview questionnaires on this website. The preview questionnaires 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:

• For BCN: Click BCN and then click Authorization Requirements & Criteria. Scroll down and look under the "Authorization criteria and preview questionnaires" heading.
• For Medicare Plus Blue: Click Blue Cross and then click Authorization Requirements & Criteria. In the "Medicare Plus Blue PPO members" section, look under the "Authorization criteria and preview questionnaires - Medicare Plus Blue PPO" heading.

Authorization criteria

We'll also update the pertinent authorization criteria on the Authorization Requirements & Criteria pages.

Posted: September 2019
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network