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09/22/2017

BCBS / BCN Announces...

Physician Assistants MUST re-enroll with Blue Cross and BCN

 

In the August 2017 Record publication it was announced that Physician Assistants must re-enroll to be reimbursed for services within their scope of license for dates of service on or after Feb. 1, 2018.


Beginning Oct 1, 2017, physician assistants must:

  • Re-enroll and be credentialed with Blue Cross Blue Shield of Michigan and Blue Care Network, including their Medicare Advantage Programs.

  • Complete their attestation form, indicating that they have a legally required documents.

  • For participation with BCN, enroll as part of an existing contract group or request participation via a new group practice.

  • Complete a CAQH ProView credentialing application within 14 calendar days of submitting enrollment requests.

 

Current reimbursement arrangements will be terminated for dates of service after Jan. 13, 2018.

 

Why are the Blue Cross and BCN making this change?

  • The change is being made because of the state of Michigan allows PAs to work with their full scope of practice without direct or general supervision by a participating physician.  The state also requires that PAs initiate and maintain a practice agreement with participating physicians.

How to Contract and Re-Enroll?

  • Starting Oct 1, PAs can find and use the Blue Cross and BCN practitioner agreements and enrollment forms on bcbsm.com

  • They will also provide additional information in upcoming editions of The Record and BCN Provider News.

The MMBA Board has inquired with Provider Enrollment Department and found that submission can only start Oct. 1, 2017 and there will be a new combined signature documents on the BCBS website come Oct. 1, 2017.

 

Keep a look out for updates and forms!

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