What third party payors provide reimbursement for APRN services?
In Michigan, the following payors provide reimbursement to APRNs: Medicaid – recognizes APRNs and provides direct reimbursement Medicare Secondary (“Gap”) Payors – Many commercial insurances recognize APRNs, as Medicare does, and provide direct reimbursement Federal Insurances – Champus, BC/BS Federal and Railroad Medicare recognize APRNs and provide direct reimbursement Blue Cross/Blue Shield of Michigan – recognizes APRNs and provides direct reimbursement Commercial Insurances & Traditional Indemnity Plans – Although it varies among companies, many recognize APRNs and provide direct reimbursement HMOs – Many of the HMOs that provide Medicaid services will allow APRNs to have provider status and receive direct reimbursement. However, many of the HMOs licensed for commercial business do not allow APRNs to be on their provider panels. Therefore, it is important to inquire of each HMO what its policies are. Typically, reimbursement for services provided by APRNs is obtained indirectly, u
