A practice document · Michigan edition · payer grid · primary sources · checked August 2026
The Credentialing Cheat-Sheet
What does a Michigan practice need to verify before it enrolls clinicians and begins billing for Collaborative Care? Medicare, Michigan Medicaid, BCBSM and BCN, and Priority Health do not necessarily implement integrated-care payment in the same way. The Cheat-Sheet puts the public requirements side by side: which codes are recognized, who bills, what enrollment may be required, and where the practice needs to verify its own arrangement.
The Cheat-Sheet shows what to check before a first claim goes out. It does not promise the claim will be clean.
No form between you and the document. It is yours either way.
Written from the primary sources and the Behavioral Health Workforce Observatory’s records.
Inside
The payer grid
which integration codes does each payer recognize?
Who bills
what the cited source says about the billing practitioner
Enrollment to check
what has to be confirmed before the practice begins?
The care-manager role
what does the payer say about who may do the work?
Consent and documentation
what does the public guidance require?
Where to verify
the page, bulletin, manual, or physician organization to check
Source notes
document identifiers and the dates they were checked
Figure 01
The payer grid is the point.
Four payers, the same questions, side by side. Two words carry the whole table. CONFIRMED means the cited public source supports the answer. VERIFY means the Center could not answer it for one practice from a public document. The last two rows matter most: the Cheat-Sheet does not replace payer verification, it tells you where to go and asks you to date what you find.
Three different questions.
01
Does the payer recognize the code?
That tells you whether the payment model exists with that payer at all.
02
Is the clinician or practice properly enrolled?
That determines whether the relevant people and the organization are recognized for the arrangement.
03
Does this particular arrangement meet the payer’s requirements?
That depends on the actual roles, services, documentation, contracts, and payer rules.
A yes to one does not automatically answer the other two.
A Michigan note · BCBSM + BCN
Code recognition and program participation are separate.
BCBSM and BCN recognize the Collaborative Care and general behavioral health integration codes. BCBSM separately operates its PGIP initiatives, with implementation support flowing to practices through participating physician organizations.
For Collaborative Care, that PGIP support is limited to primary care and OB/GYN providers, and is implemented with practices through participating Physician Organizations.
Those are related facts. They are not the same requirement, and there is no single generic Blue Cross designation process a credentialer can follow.
What that means at the desk.
Seeing a payer name in a grid does not tell you what your own practice has to do. Recognition of a code, the practice’s enrollment record, and participation in a payer program are three separate things to confirm.
Starting with Medicare?
The Medicare Enrollment Cheat-Sheet explains PECOS, participating versus non-participating, specialty selection, and payment lookup.
Related research · The credentialing study
What does insurance participation actually cost a practice?
Enrollment records show the outcome. They do not show the staff hours, elapsed time, corrections, recredentialing work, or claim-denial work behind it. The Observatory is measuring the part the enrollment record leaves blank.
About five minutes · findings go to respondents first