Read Provider Update

This monthly newsletter delivers updates on policies, changes to benefits, and other news you need to know.

  • P = Professional
  • B = Behavioral health
  • F = Facilities

A Word from Dr. Collins

P B F
Mar 1, 2021
Of course, the COVID-19 vaccine is THE topic of the moment. And as the state’s largest health insure...
P B F
Feb 1, 2021
Blue Cross & Blue Shield of Rhode Island (BCBSRI), in partnership with Eliza Corporation (Eliza)...
P B F
Jan 1, 2021
Even in “normal” times, before the pandemic, healthcare professionals and caregivers dealt with trem...

BCBSRI Update

P F
Mar 1, 2021
BCBSRI is taking an additional step to support its members during the COVID-19 crisis. Effective un...
P B F
Mar 1, 2021
BCBSRI has updated its “Payment Policies for Telemedicine/Telephone Services for Commercial and Medi...
P F
Mar 1, 2021
Some fields in MHK will be moved effective May 3, 2021: The “Contact Name” field will be moved to a...

Provider Relations

P B F
Oct 1, 2020
We have updated the credentialing form for new providers looking to become participating BCBSRI prov...
P B F
Sep 1, 2020
During the COVID-19 pandemic, we’ve had to rethink our in-person fall seminars and have opted to con...
P B F
Aug 1, 2020
Electronic attestations are now live on our secure provider portal and have replaced fax attestation...

Quality

P
Mar 1, 2021
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
Feb 1, 2021
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
Feb 1, 2021
Each year, BCBSRI is required to participate in nationally recognized quality studies, called the He...

Behavioral Health

P B
Nov 12, 2020
Program overview: The Dementia Care Coordination Program is an evidence-informed intervention based ...
B
Sep 1, 2020
Every September, the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsors Nat...
B
Sep 1, 2020
If a provider renders methadone maintenance services to a BCBSRI commercial member who has federal M...

Pharmacy

P
Mar 1, 2021
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Aug 1, 2020
BCBSRI offers home delivery option or an extended supply network pharmacy for new prescriptions or r...
P F
Aug 1, 2020
The following codes are being added to Medicare MDR with a 10/1/20 effective date (effective 10/1/20...

Products & Benefits

P B F
Dec 1, 2019
In the large group portfolio, we will also be adding eight Network Blue New England Options plans, a...
P B F
Dec 1, 2019
Our regional BlueCHiP family is expanding in the small group market with Effective January 1, 2020, ...
P B F
Dec 1, 2019
Effective January 1, 2020, BCBSRI will become the insurer for all Lifespan employees. Below is a qui...

Claims

P B F
Jan 1, 2021
These enhancements include auto-approvals as well as a single location to submit both acute inpatien...
P B F
Jan 1, 2021
The following announcement is for all providers servicing members with the following Blue Cross Blue...
P F
Nov 1, 2020
BCBSRI has updated our system to reflect the new CMS Hospital Bill Type/Class (087) that becomes eff...

Policies

P F
Mar 1, 2021
We have completed our review of the January 2021 CPT code changes, including any Category II perform...
P F
Mar 1, 2021
Effective May 1, 2021, several CPT codes in the New Technology (Formerly CPT Category III Codes) pol...
P F
Mar 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
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