Post-Acute Care
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Post-acute care stays, which include stays at skilled nursing facilities, inpatient rehabilitation facilities and long-term acute care hospitals, require prior authorization as follows:
| Lines of business | Details |
|---|---|
Blue Cross Blue Shield of Michigan commercial and Blue Care Network commercial |
Blue Cross and BCN manage prior authorization requests. Submit requests through the e-referral system. |
Medicare Plus Blue℠ and BCN Advantage℠ |
|
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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