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BCBS MichiganCommercial · Prior Auth · Prior Authorization · MI · Radiation Oncology, Nuclear Medicine, OncologyHigh impact

Register for training about prior authorization changes for radiation oncology, radiopharmaceuticals

Effective date
Sep 1, 2026
Identified
Jun 26, 2026

Summary

Effective September 1, 2026, radiation oncology services (including proton beam therapy) and radiopharmaceuticals will be managed through the Oncology Value Management program administered by OncoHealth. This represents a shift in prior authorization requirements and management for these services. OncoHealth is hosting training webinars in August and September 2026 to educate providers on the new program.

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What to do

Action · 6 steps
01Before September 1, 2026: Billing team must establish new prior authorization workflow with OncoHealth for all radiation oncology and radiopharmaceutical claims.
02Register providers/billing staff for OncoHealth training webinars (Aug 13, Aug 18, Aug 27, Sept 3, or Sept 9 at oncohealth.us/training-bcbsmi).
03Update billing system to route radiation oncology and radiopharmaceutical prior authorization requests to OncoHealth instead of current process.
04Train billing staff on OncoHealth's authorization procedures, turnaround times, and appeal processes.
05Update internal claim submission protocols and encounter forms to reflect new OncoHealth contact and requirements.
06Communicate change to radiation oncology and nuclear medicine providers.
If missed: Failure to route claims through OncoHealth starting Sept 1, 2026 will result in claim denials and authorization delays.

Original notice

Register for training about prior authorization changes for radiation oncology, radiopharmaceuticals
bcbsm.com · Always check the source before changing claims.
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Related changes

See all BCBS Michigan changes →
Reminder: Radiation oncology and therapeutic radiopharmaceuticals to be managed through the Oncology Value Management program, starting Sept. 1HighEffective Sep 1, 2026 · Specialty ServicesReminder: Register for training about prior authorization changes for radiation oncology, therapeutic radiopharmaceuticalsHighEffective Sep 1, 2026 · Prior AuthorizationRadiation oncology and radiopharmaceuticals will be managed through Oncology Value Management program, starting Sept. 1MediumEffective Sep 1, 2026 · Specialty ServicesBrowse every BCBS Michigan change in the policy list

Related policy hubs

BCBS Michigan policiesMI policy changesRadiation OncologyNuclear MedicineOncology

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