Many chiropractic patients rely on chiropractic maintenance care to prevent recurrences, remain pain-free, and maintain wellness and/or a higher quality of life. Maintenance care reflects a shift in treatment to a preventive approach designed to prevent new episodes and maintain current levels. Unfortunately, while maintenance care can be extremely beneficial for patients, there are very few Michigan insurance companies that will actually cover it. No Blue Cross Blue Shield of Michigan policies cover such care. The Blue Cross Advance Notice of Member Responsibility (ANMR) Form should be provided when the patient transitions from medically necessary care to non-medically necessary (active chiropractic to maintenance care).