Medicare AdvantagePrior AuthMedium impact
How to speed up prior authorization process through WellSky provider portal for Medicare Advantage skilled nursing facility stays
BCBS Michigan·MI·Prior Authorization
We identified it
Jun 16, 2026
Summary
Blue Cross Blue Shield of Michigan is implementing a faster real-time approval process for Medicare Advantage skilled nursing facility prior authorization requests through the WellSky provider portal. This new process provides instant approvals when clinical documentation clearly meets CMS requirements, eliminating delays from fax or phone submissions.
Action Required
Immediately: For Medicare Plus Blue and BCN Advantage skilled nursing facility stays, submit all prior authorization requests through WellSky provider portal (via Availity Essentials or WellSky's portal) instead of fax or phone. Ensure complete clinical documentation is attached including current findings from all disciplines, functional assessments, and documentation supporting skilled services need. Access the Quick Reference Guide through WellSky portal Resources section for step-by-step process.