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. Manocchia

P B F
Jul 1, 2019
One of the ways that Blue Cross & Blue Shield of Rhode Island (BCBSRI) works to control and redu...
P B F
Jun 1, 2019
In previous Provider Updates, we have consistently reached out to our network providers to remind yo...
P B F
May 1, 2019
In 2014, we created a patient-centered pharmacy program that was designed to support adding pharmaci...

BCBSRI Update

P
Jul 1, 2019
Effective March 26, 2019, BCBSRI implemented new credentialing requirements for nurse practitioners ...
P F
Jul 1, 2019
We’re excited to announce the implementation of MHK (formerly known as MedHOK) in September 2019. MH...
P B F
Jun 1, 2019
Following the first annual LGBTQ Cultural Competency Summit, which took place last October in Washin...

Provider Relations

P B F
Jul 1, 2019
Our Provider Relations team is gathering information on various topics to present to our participati...
P
Jun 1, 2019
Effective March 26, 2019, BCBSRI implemented new credentialing requirements for nurse practitioners ...
P B F
Jun 1, 2019
As a BCBSRI-contracted provider, you have an obligation to coordinate members’ care with contracted,...

Quality

P
Jul 1, 2019
We are committed to working with you to improve the quality of care and health outcomes for our memb...
P
Jun 1, 2019
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...
P
May 1, 2019
BCBSRI is committed to making it easier for your practice to be successful in all areas of quality i...

Behavioral Health

P B F
May 1, 2019
Mental Health Month was started in 1949 by the national organization Mental Health America to raise ...
B
Apr 1, 2019
Beacon Health Options, BCBSRI’s behavioral health partner, is available 24/7 to assist with finding ...
B
Apr 1, 2019
Founded and sponsored by the National Council on Alcohol and Drug Dependence (NCADD), Alcohol Awaren...

Pharmacy

P
May 1, 2019
Pharmacy benefit coverage for Commercial members will be updated effective May 1, 2019 to include co...
P
Apr 1, 2019
The BCBSRI Commercial formulary for April is now available. You can view the summary that provides d...
P
Mar 1, 2019
Consistent with our management practice, April 1, 2019 is the next scheduled update of the BCBSRI Co...

Products & Benefits

P B F
Jan 1, 2019
Effective October 1, 2018, BCBSRI launched a new product family, Access Blue New England. It will be...
P B F
Jan 1, 2019
Effective January 1, 2019, the Blue Cross and Blue Shield Federal Employee Program® (FEP) is launchi...
P B F
Jan 1, 2019
Upon enrollment, our members are granted certain rights and protection of these rights in all their ...

Claims

P B
Jun 1, 2019
BCBSRI follows the Medicare National Correct Coding Initiative (NCCI) edits to ensure that all claim...
P F
May 1, 2019
BCBSRI follows the Medicare National Correct Coding Initiative (NCCI) edits to ensure that all claim...
P B F
Apr 1, 2019
Effective April 1, 2019, BCBSRI will require the provider taxonomy code to be submitted on all claim...

Policies

P F
Jul 1, 2019
Effective September 1, 2019, CPT 97610, low frequency, non-contact, non-thermal ultrasound, includin...
P F
Jul 1, 2019
Effective September 1, 2019, transcutaneous electrical joint stimulation will be not covered for Blu...
P F
Jul 1, 2019
Effective July 1, 2019, there are coverage updates within the Proprietary Laboratory Analyses policy...
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