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Autism Services

Filter:

  • All
  • Blue Cross commercial
  • Medicare Plus Blue
  • BCN commercial
  • BCN Advantage

Blue Cross Behavioral Health manages prior authorizations for autism services for the following members:

  • Blue Cross Blue Shield of Michigan commercial
  • Medicare Plus Blue
  • Blue Care Network commercial
  • BCN Advantage

Out-of-network providers can use the following online forms to submit requests:

For information about autism services for dates of service before Jan. 1, 2024, reference:

Note:
Autism benefits for Blue Cross commercial and BCN commercial members comply with Michigan-mandated benefits. The mandate doesn’t apply to some self-funded employer groups or to Medicare Advantage or Medicare supplement plans, such as Medicare Plus Blue, Blue Cross Complete (Medicaid), BCN Advantage or MyBlue Medigap. Always check member benefits and eligibility.

How to submit prior authorization requests

To learn how to submit requests, see our Getting Started page.

Submit requests before providing services.

Utilization Management Criteria

Visit our Utilization Management Criteria page.

More information about the state law on autism is available at www.mi.gov/autism.

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