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Provider Resource Center: Skilled home health provider
Home health care prior authorizations managed by tango
tango offers a platform that equips and empowers home health providers with the necessary tools, resources, and support to boost their capabilities, efficiency, and overall effectiveness in providing healthcare services. tango’s arrangement with Blue Cross® Blue Shield® of Michigan and Blue Care Network encompasses several key components that aim to enhance the quality and delivery of home health care for Medicare Advantage members:
- Referral coordination and authorization management for skilled home health services:
- Efficient management of referrals, referral coordination, and authorizations
- Network development and management for skilled home health:
- Developing, contracting, maintaining, and credentialing a robust network of skilled home health care providers
- Claims processing for skilled home health:
- Timely and accurate claims processing for skilled home health services
tango manages the following services:
| Service | Procedure Codes |
| Skilled nursing services on an intermittent/part-time basis | G0300; G0162; G0299; G0493; G0494; G0495; G0496 |
| Skilled home health aide services on an intermittent/part-time basis | G0156 |
| Physical therapy | G0151; G0157; G0159; G2168 |
| Occupational therapy | G0152; G0158; G0160; G2169 |
| Speech-language pathology | G0153; G0161 |
| Medical social work | G0155 |
Please note that tango does not authorize behavioral health, respiratory therapy, or home infusion therapy nursing services. To locate in-network providers who provide these services, see the Blue Cross and BCN online provider directory on bcbsm.com.
Join the tango network
Member support
Once tango begins managing the home health network in March 2026, any skilled home health agency not already contracted with tango for the services mentioned above will be considered out-of-network for Blue Cross and BCN’s Medicare Advantage members.
Members who are already engaged in a skilled home health episode as of the effective date may continue receiving those services through the end of the authorization period. At that point, a request must be made to tango for continued services. Out-of-network agencies will be offered the opportunity to join the network or will be required to transition the member to an in-network provider at the end of the authorization period.
Please direct questions related to authorizations for new or continuing skilled home health care to tango’s provider relations team at providerrelations@tangocare.com.
Contact us
For any other assistance or information regarding skilled home health authorizations, program inquiries and feedback, training requests, language assistance, and general questions, please contact the tango team.
For general program inquiries, please contact our program team.
Provider resources
Access our library of provider resources for skilled home health providers that will help you successfully navigate this post-acute care management program.
Frequently Asked Questions
For answers to general questions, home health care providers can review a copy of tango’s Home Health Agency FAQ for Blue Cross and BCN.
Training
We invite you to attend an educational webinar tailored specifically for home health agencies contracted with tango.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. tango and WellSky are independent companies that review member health care services for appropriateness and medical necessity on behalf of Blue Cross Blue Shield of Michigan and Blue Care Network.