BCBSM Provider-Delivered Care Management

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BCBSM PDCM-Specialists

(Updated March 22, 2018)

Provider Delivered Care Management for Specialists

The Provider Delivered Care Management-specialist program will begin on July 1, 2017. This program was previously called PDCM Oncology, which is being incorporated into the new PDCM-specialist program.

Practitioners in the following specialty types who meet the Patient-Centered Medical Home-Neighborhood capability, training, and care plan requirements may bill PDCM codes.

  • Oncologists
  • Cardiologists
  • Pulmonologists
  • Nephrologists
  • Endocrinologists
  • Palliative care specialists
  • Orthopedic surgeons

 

At this time, there will be no value-based reimbursement associated with the PDCM-specialist program, but value-based reimbursement may be implemented in the future. For details about the criteria to participate in the PDCM-specialist program, please see the PDCM Frequently Asked Questions document, available by emailing valuepartnerships@bcbsm.com.

A summary of BCBSM PDCM programs and the care management training criteria is identified in the table below. For details about the criteria to participate in the PDCM-specialist program, please see the PDCM Frequently Asked Questions document, available by emailing valuepartnerships@bcbsm.com

Course Information:

  • To access the MiCMRC PDCM online training Click Here
  • BCBSM PDCM online billing training - See Billing Webinar below

Note: For Care Management Billing resources Click Here

For questions regarding courses or for additional information, please contact micmrc-requests@med.umich.edu

 

Billing Webinar

Blue Cross Blue Shield Webinar

May 11 2017

To receive a certificate of completion Click Here

Presented by

Blue Cross Blue Shield Value Partnerships