Home
Forms Library
BCBSM Outpatient Psychiatric Care Facility Participation Agreement

BCBSM Outpatient Psychiatric Care Facility Participation Agreement 2025

BCBSM Outpatient Psychiatric Care Facility Participation Agreement Preview on Page 1

See details

4.8 out of 5

32 votes

The document is a Participation Agreement between Blue Cross Blue Shield of Michigan (BCBSM) and outpatient psychiatric care facilities in Michigan. It outlines the responsibilities, definitions, and obligations of both parties regarding the provision of covered psychiatric services. Key components include definitions of terms such as 'Covered Services' and 'Provider', BCBSM's responsibilities for payment and claims processing, and the Provider's obligations to maintain qualification standards, submit claims, and ensure confidentiality. The agreement also details procedures for audits, claim disputes, and termination conditions.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to quickly redact BCBSM Outpatient Psychiatric Care Facility Participation Agreement online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your paperwork online. Adhere to this straightforward instruction to redact BCBSM Outpatient Psychiatric Care Facility Participation Agreement in PDF format online free of charge:

Sign up and log in. Create a free account, set a strong password, and go through email verification to start working on your forms.
Upload a document. Click on New Document and choose the form importing option: upload BCBSM Outpatient Psychiatric Care Facility Participation Agreement from your device, the cloud, or a protected link.
Make adjustments to the sample. Utilize the upper and left panel tools to redact BCBSM Outpatient Psychiatric Care Facility Participation Agreement. Insert and customize text, images, and fillable fields, whiteout unneeded details, highlight the significant ones, and provide comments on your updates.
Get your documentation done. Send the sample to other parties via email, create a link for quicker file sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail included.

Try all the benefits of our editor right now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is BCBS of Michigan the same as Blue Care Network?

Blue Cross Blue Shield of Michigan offers two stand-alone Prescription Blue PDP plans. Medicare Plus Blue PPO is available in every county in Michigan. Once enrolled in the Medicare Plus Blue Part B Credit Plan, members receive a credit in their monthly social security checks.

Does Blue Cross Blue Shield cover mental health care?

What types of therapy does Blue CrossBlue Shield cover? Blue Cross Blue Shield plans cover most types of therapy, including individual therapy and child therapy, as well as different types of therapy approaches, including: Cognitive Behavioral Therapy (CBT) Dialectical Behavioral Therapy (DBT)

How much does BCBS reimburse for 90837?

On average, in-network reimbursement for CPT 90837 (a 60-minute psychotherapy session) ranges between $120 and $160 per session. If youre an out-of-network provider, BCBS may reimburse at 5070% of usual, customary, and reasonable (UCR) rates, which often comes out to $60$120 per session.

Try more PDF tools