Inappropriate Enrollment and Substance Use Disorder (SUD) Services

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is aware of some cases of inappropriate practices around enrollment and offerings for Substance Use Disorder (SUD) services in California.

Blue Cross NC has received reports of members throughout North Carolina who were encouraged to sign up for insurance benefits here in North Carolina to receive SUD services in California. Reports indicate that the conditions and SUD treatment programs at the facilities were not as promised, and misled patients.

Blue Cross NC is committed to ensuring that our members have access to high-quality mental health services that are safe and effective. We have processes in place to help identify appropriate access and confirm that care is safe, medically necessary, and clinically appropriate before and after services are provided.

These processes will help find safe and affordable care closer to a member’s community so they can access the benefits of SUD treatment programs as intended.

Should a Blue Cross NC member need assistance in finding an in-network provider please encourage the use of the following Blue Cross NC resources:

• Call our Behavioral Health Care Navigation team at 800-755-0798.
• Connect with a Blue Cross NC behavioral health care navigator.
• Use the Find Care tool in Blue Connect to find mental health support and access care quickly.

Thank you for your support in helping our members get clinically appropriate and safe care.