What types of policy changes does BCBS Michigan issue?

BCBS Michigan regularly publishes coverage updates including prior authorization requirement changes, billing code additions or deletions, plan-type coverage modifications, and clinical policy revisions. PolicyChanges.app monitors these notices and summarizes the impact for providers.

How often does BCBS Michigan update its policies?

BCBS Michigan typically releases policy bulletins on a rolling basis throughout the year. Our system checks for new updates daily and adds them to this feed as soon as they are identified.

How many BCBS Michigan policy changes are tracked here?

This page currently tracks 50 documented BCBS Michigan policy changes. New items are added as they are identified.

What should I do when BCBS Michigan changes a prior authorization policy?

Review each change's effective date and action-required notes. Update your billing and clinical workflows before the effective date to avoid claim denials. Each policy detail page on PolicyChanges.app includes a plain-English summary and action items.

BCBS Michigan Policy Changes 2026 | Prior Auth & Coverage Updates

BCBS Michigan Policy Changes & Prior Auth Updates

We track 50 documented policy changes from BCBS Michigan across MI. Each entry includes an AI-generated plain-English summary, effective date, affected billing codes, and a direct link to the original BCBS Michigan notice. Use the related links below to narrow results by specialty or state, or sign up for a free daily alert to receive new BCBS Michigan updates automatically.

Medium impact

Select Medicare Advantage members will be eligible for Sprinter Health’s in-home diabetic program starting in April

BCBS Michigan·Effective Apr 1, 2026

Blue Cross Blue Shield of Michigan and Blue Care Network are launching an in-home diabetic program through Sprinter Health for select Medicare Plus Blue and BCN Advantage members starting in April. Eligible diabetic members due for retinal exams will receive invitations for no-cost in-home visits that include multiple screenings, with results shared directly with primary care providers through electronic medical records or fax.

Billing chart: Blue Cross highlights medical, benefit policy changes

2026 CPT updates: New codes

Prospective editing updates

Time-saving tips for authorizations: Fewer calls, faster answers

Do you have time for a Quality Minute about annual wellness visits?

PGIP develops Physician Organization Scorecard

Here are provider, patient resources on prenatal care, childhood immunizations

Musculoskeletal procedures may require prior authorization through TurningPoint for FEP members

How to speed up prior authorization process through WellSky provider portal for Medicare Advantage skilled nursing facility stays

New webpages contain information, resources on tango’s home health care management for Medicare Advantage members

Tango now manages home health care for Medicare Advantage members: What to know about transition period

Announcing change to authorizations for Medicare Advantage members’ interrupted stays at skilled nursing facilities

Webinars for physicians, coders focus on documentation, coding

Register now for 2026 virtual provider symposium sessions

Submit your questions for April Q&A session that focuses on unique prospective editing topics

Pharmacy news roundup

Additional drugs to have site-of-care requirement for most commercial members, starting June 1

We’re adding requirements for additional medical oncology drugs for most members, starting May 13

Additional drugs to require prior authorization for Medicare Advantage members, starting May 11

TurningPoint introduces software to assist with prior authorization process for select musculoskeletal procedures

Advantages of using e-referral system for prior authorization requests instead of calling or faxing

Reminder: Regularly review your organization’s access permissions in Availity Essentials

Expansion of medical record requests to include Medicare Plus Blue claims

Blue Cross’ updates to practitioner fees will take effect July 1

Coding Corner: Provide clear, accurate documentation for alcohol use disorder

Advanced practice providers now eligible for Health e-Blue

We invite you to join PGIP as a physician organization

2025 benefit year HHS-RADV Initial Validation Audit begins May 2026

Effective May 1, 2026, CPM device E0935 is covered for post-operative treatment only

Reminder: How to check the status of prior authorization requests to share with your patients

Changes to prior authorization requirements for select services managed by Blue Cross and BCN are effective March 15

2026 annual late release HCPCS update: New codes

HCPCS replacement codes established, effective April 1, 2026

HCPCS 1st-quarter update: New, deleted codes

Billing chart: Blue Cross highlights medical, benefit policy changes

We’ve amended the Vaccine Affiliation Agreement

Chiropractors invited to join quality reward program; enrollment closes June 30, 2026

New modifier 25 policy implementation paused

Submit your questions for Q&A sessions that focus on unique prospective editing topics

Pharmacists’ scope of practice expands to include hormonal contraceptives

Pharmacists’ scope of practice has expanded to include testing and treatment

Correction: We’re adding requirements for additional medical oncology drugs for most members, starting May 13

Important information about Medicare Plus Blue claims for home health care episodes that started before March 1 and continue through or beyond March 1

Select Medicare Advantage members will be eligible for Sprinter Health’s in-home diabetic program starting in April

We won’t require Medicare Advantage home infusion therapy providers to become Medicare-qualified HIT suppliers

Select Medicare Advantage members will receive Cologuard test kits starting in June

Check out these heart health resources

On-demand opportunities are available for provider training

Contact Provider Training team to register for orientation webinar for new office staff

Register now for 2026 virtual provider symposium sessions