ASPIRE VBR Provider Eligibility - Frequently Asked Quesons (FAQ)
What must a provider do to be eligible for VBR payment?
If a hospital meets VBR performance thresholds, providers assigned to that hospital may qualify
for VBR payment if the praconer is contracted with BCBSM’s PPO network and credenaled
appropriately in anesthesiology or is in an aliated BCBSM PGIP organizaon.
• BCBSM will validate eligibility by verifying that the provider is listed as a contracted
provider in January of the measurement period year and through February of the year
immediately following the measurement period.
o Example: For 2028 VBR, the measurement period is October 1, 2026 –
September 30, 2027. To be eligible, a provider must be listed as a contracted
provider with BCBSM by January 2027 and remain contracted through February
2028. If a provider was contracted with BCBSM in January 2027 but is no longer
on the list in February 2028, the provider would not be eligible for 2028 VBR
payment.
How can a pracce or hospital assess if a provider is contracted with BCBSM?
• Check with your pracce manager as they may be able to idenfy that informaon,
though this may be only current status, you will need to be contracted with BCBSM for
the enre period to qualify for receipt of VBR.
• The ASPIRE Coordinang Center can provide recent status for contracted PPO providers.
• Individual providers can also call 1-800-822-2761, to check individual status.
How does a provider get contracted with BCBSMs PPO network?
• To be added, the provider must complete BCBSM contracng. This process is usually
handled by the provider’s pracce manager or administrave leadership.
• More informaon is available at: hps://www.bcbsm.com/providers/enrollment.html
Please contact mpog-quality@med.umich.edu with addional quesons.
