Musculoskeletal Services

Resources

Prior authorizations for orthopedic and spinal procedures are managed as follows:

For	Submit requests to
Blue Cross and Blue Shield Federal Employee Program^® members — For dates of service on or after Jan. 1, 2026	Blue Cross Blue Shield of Michigan through the e-referral system
Blue Cross commercial members who have coverage through Fully insured groups Select self-funded groups* Notes: This excludes MESSA This includes UAW Retiree Medical Benefits Trust non-Medicare members Individual plans Medicare Plus Blue^℠ members Blue Care Network commercial members BCN Advantage^℠ members	TurningPoint Healthcare Solutions

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.

*To determine whether you need to submit prior authorization requests for Blue Cross commercial members, see the document titled Determining prior authorization requirements for members.

TurningPoint Healthcare Solutions LLC is an independent company that manages prior authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.