BCBSM Provider-Delivered Care Management

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BCBSM PDCM-Specialists

(Updated May 22, 2017)

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

 

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.

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 programs, 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