Referrals
Patient referral forms
To view the full list of forms related to referrals and patient care coordination, please visit the Forms page.
Please note: A referral is required for all specialty visits. The referral should be obtained from the member’s PCP. There is no specific Empire BlueCross BlueShield HealthPlus referral form. Referrals can be given on prescription or stationery.
Provider directories
Refer a patient for case management
We welcome provider referrals for patients who can benefit from additional education and care management support. Our case managers work collaboratively with providers to obtain input on care plan development, and provide telephonic and/or written updates regarding patient status and progress.
- To learn more about case management, visit our Case Management page.
- For more information about referring a patient to our Disease Management program, please visit our Disease Management page.
- For more information about case management related to pregnancy and maternal health, please visit our Pregnancy & Maternal Child page.
Please note: Members do not need a referral from their PCP to access behavioral health services; however, the PCP should actively engage in identifying the need for behavioral health services for their patients and should remain involved in treatment planning for all patients with behavioral health issues.