Blue Cross Blue Shield of Michigan (BCBSM) announced a new Multiple Therapy Procedure Reduction (MTPR) policy in the April 2025 edition of The Record. Effective April 1, 2025, BCBSM is reducing reimbursement for second and subsequent therapy services (or units) provided on the same day. This applies to chiropractors, MDs, DOs, and PTs.
This harmful payment cut threatens patient access, practice sustainability, and the future of small and mid-sized clinics across Michigan.
Why It Matters:
BCBSM holds the largest market share in Michigan. When they make unilateral cuts, providers are left with few choices: accept lower payments or risk exclusion from critical networks. The ripple effect is significant—fewer services, longer wait times, reduced staff, and fewer care options for patients.
MAC Members:
These tools are ready for download and use—help amplify our response today. Log in to the MAC website for resources to take action! Access the Doctors Resources section under Frequently Used Documents to find all these resources:
- Patient Educational Handout
- Patient Letter Template
- Provider Letter Template
Take Action Now – Two Ways to Push Back:
- Engage Your Patients:
Help patients understand how this policy affects their care—and encourage them to speak up.
Included for your use:
- A Patient Educational Handout (customizable for your office)
- A Patient Letter Template to send to BCBSM
Share the handout with BCBSM patients and encourage them to submit the letter directly to Blue Cross expressing their opposition to this change.
Patient letters should be sent to: Blue Cross Blue Shield of Michigan
- Via the BCBSM Patient Portal at bcbsm.com
- Via paper mail
Attn: Customer Service – Policy Feedback
600 E. Lafayette Blvd.
Detroit, MI 48226
- Submit a Provider Impact Letter:
We’re asking all Michigan chiropractors to participate in a provider letter-writing campaign. BCBSM needs to hear directly from you about how this policy harms your practice and your patients.
We’ve created a customizable letter template to get you started. Be sure to personalize it with specific data and stories from your clinic—examples include:
- Reduced access to care or appointment availability
- Staffing or hour reductions
- Threats to your clinic’s long-term viability
Important: Do not include protected health information (PHI) or actual fees/dollar amounts.
Here’s how to submit your provider letter:
- Download and customize the Provider Letter Template
- Email your completed letter to: insurance@chiromi.com
*Please note: This email address is for provider letter collection only. Patient letters should be submitted by the patient directly to BCBSM. For insurance questions, email info@chiromi.com or stephanie@chiromi.com.
The MAC will compile and deliver all provider letters to BCBSM.
Let’s make our voices heard—this policy must be reversed. The more letters we send, the stronger our message. Stand up for your patients, your clinic, and our profession.
