Post-Acute Care: Resources

• Procedure codes for which providers must request prior authorization
• Holiday closures: How to submit authorization requests for inpatient admissions
• Post-acute care: For skilled nursing, rehabilitation and long-term acute care facilities — Includes information about our care management and utilization management programs

Resources for services managed by Blue Cross Blue Shield of Michigan and Blue Care Network Utilization Management

• Post-acute care requirements: Information for providers
• How to request a peer-to-peer review with a Blue Cross or BCN medical director
• For Medicare Advantage members only: Post-acute care: NOMNC and DENC forms — Guidance and instructions when the prior authorization is managed by Blue Cross or BCN — For stays that started on or before Jan. 4, 2026

Forms

• LTACH assessment form
• SNF/acute IPR assessment form
• Physician peer-to-peer request form (for non-behavioral health cases)

Resources for services managed by Wellsky^®

• Post-acute care services for Medicare Advantage members: Frequently asked questions for providers
• Register to access the WellSky provider portal through Availity Essentials
• Post-acute care: NOMNC and DENC forms — Guidance and instructions when the prior authorization is managed by WellSky
• WellSky's Blue Cross and BCN Provider Resource Center— Includes forms for faxing prior authorization requests, quick reference guides about submitting prior authorization requests for initial and continued stays, detailed information for acute care facilities about using CarePort to submit prior authorization requests and discharge information and more