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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
Jul 1, 2022
Today, July 1, 2022, marks the beginning of required reimbursement in Rhode Island by private health...
P B F
Jun 1, 2022
June is Alzheimer’s and Brain Awareness Month, an important time to support those who are affected b...
P B F
May 1, 2022
As you know, May is Mental Health Awareness Month. Factors related to the pandemic over the last two...

BCBSRI Update

P B F
Jul 1, 2022
One of BCBSRI’s top priorities is to give our providers the tools and knowledge necessary to submit ...
P B F
Jul 1, 2022
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...
P B F
Jun 1, 2022
BCBSRI offers a convenient self-service tool to submit prior authorizations online through the MHK P...

Provider Relations

P B F
Jul 1, 2022
Effective July 1, 2022, BCBSRI will require the National Drug Code (NDC) to be filed on all claims s...
P B F
Jul 1, 2022
Primary care providers (PCPs) accept responsibility for arranging and coordinating the overall healt...
P B
Jun 1, 2022
The Place of Service (POS) 10 Telemedicine Payment Policy outlines BCBSRI’s implementation of a new ...

Physician & Provider Call Center

P B F
Jun 1, 2021
  Did you know our secured Physician and Provider Portal offers the following: •Check member benef...

Quality

P
Jul 1, 2022
This month, Hints for HEDIS provides a quick reference for coding and documentation to improve quali...
P
Jun 1, 2022
April was National Alcohol Awareness Month, and this month’s Hints for HEDIS will focus on the quali...
P
May 1, 2022
This month’s Hints for HEDIS is for Osteoporosis Management in Women who Had a Fracture (OMW). Meas...

Behavioral Health

B
Jul 1, 2022
The BCBSRI Behavioral Health Case Management program is staffed by experienced mental health and sub...
B
Jul 1, 2022
July is Bebe Moore Campbell National Minority Mental Health Awareness Month. The goal of this awaren...
B
Jul 1, 2022
BCBSRI is partnering with Aware Recovery Care to offer our in-network providers CEU opportunities at...

Pharmacy

P F
Apr 1, 2022
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P
Mar 1, 2022
The first interchangeable biosimilar insulin product has been approved by the FDA. Viatris has relea...
P F
Feb 4, 2022
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...

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
Mar 16, 2022
**This update will not take place this weekend and it will be rescheduled to a future date. **   B...
P B F
Jan 7, 2022
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system was supposed to be unav...
P B F
Dec 1, 2021
BCBSRI will be implementing changes to bluegateway.bcbsri.com and the system will be unavailable fro...

Policies

P F
Jul 1, 2022
We have completed our review of the July 2022 CPT code changes, including any category II performanc...
P F
Jul 1, 2022
Effective 8/1/2022, the authorization requirement is being removed from HCPCS code E0604 for hospita...
P F
Jul 1, 2022
The following policies were recently reviewed for annual update. The full texts of these policies ar...