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Private Duty Nursing

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

Blue Cross Blue Shield of Michigan and Blue Care Network Utilization Management require prior authorization for private duty nursing for:

  • Some Blue Cross commercial groups*
  • Some BCN commercial groups*

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.

*Not all groups have private duty nursing as a benefit. Check each member’s eligibility and benefits prior to performing services.