Behavioral Health Medical Necessity Criteria

What is this about?

These documents are for Blue Cross Blue Shield of Michigan PPO members or providers. They describe the criteria a patient or provider needs to meet to be approved for tests and procedures related to a behavioral disorder.

If you have a Blue Care Network plan and you're looking for this information, call the behavioral health number on the back of your ID card.

Current Clinical Criteria

Use these documents for admissions on or after Jan. 1, 2021.