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

Reminder: Register for training about prior authorization changes for radiation oncology, therapeutic radiopharmaceuticals

Effective date
Sep 1, 2026
Identified
Jul 23, 2026

Summary

Effective September 1, 2026, radiation oncology services (including proton beam therapy) and therapeutic radiopharmaceuticals will now be managed through the Oncology Value Management program administered by OncoHealth, requiring prior authorization through a new process. Providers must register for training webinars in August or September 2026 to understand the new requirements and workflow.

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What to do

Action · 5 steps
01Before September 1, 2026.
02Billing team and clinical staff must register for at least one OncoHealth training webinar at oncohealth.us/training-bcbsmi (sessions available Aug 13, Aug 18, Aug 27, Sept 3, and Sept 9).
03Update prior authorization workflow and billing software to route all radiation oncology and therapeutic radiopharmaceutical claims through OncoHealth instead of current BCBS authorization process.
04Communicate new prior auth requirements to all providers and clinical staff who order these services.
05Implement new authorization procedures before the Sept 1 effective date.
If missed: Failure to obtain prior authorization through OncoHealth will result in claim denials for affected services.

Original notice

Reminder: Register for training about prior authorization changes for radiation oncology, therapeutic 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 ServicesRegister for training about prior authorization changes for radiation oncology, 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 OncologyOncologyNuclear Medicine

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