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BCN Behavioral Health Continuing OTR Form

BCN Behavioral Health Continuing OTR Form 2025

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4.1 out of 5

57 votes

The BCN Behavioral Health Continuing Outpatient Treatment Request Form is a document used to request authorization for ongoing outpatient mental health treatment. It requires detailed information about the member, including personal details, treatment history, current therapy modalities, psychiatric medication management, and treatment goals. The form emphasizes the importance of documenting clinical necessity and adherence to treatment recommendations while outlining the process for submitting the request through an e-referral system.

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Versions	Form popularity	Fillable & printable
2017	4.1 Satisfied (57 Votes)
2014	4.6 Satisfied (57 Votes)

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Does BCN require prior authorization?

Blue Care Network requires prior authorization for certain procedures to ensure that members get the right care at the right time and in the right location. BCN Prior authorization and plan notification - e-Referral e-Referral - Blue Cross Blue Shield of Michigan bcn bcn-clinicalreview e-Referral - Blue Cross Blue Shield of Michigan bcn bcn-clinicalreview