Home Health Care
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Home health care requires prior authorization for Medicare Plus Blue℠ and BCN Advantage℠ members who have coverage through groups as follows:
| For episodes of care that… | Details |
|---|---|
Start and end before March 1, 2026 |
Prior authorization isn't required |
|
Prior authorization is required through tango. See the Resources page for additional information. |
Note: Prior authorization isn’t required for Medicare Plus Blue and BCN Advantage members who have individual coverage. However, the home health care provider must be contracted with tango to be considered in network.
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.
Tango and WellSky® are independent companies that review member health care services for appropriateness and medical necessity on behalf of Blue Cross Blue Shield of Michigan and Blue Care Network.
Frequently accessed documents
Additional resources
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