BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

The following new policies were created. Effective dates vary so please review the full text of thes...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

Bioimpedance Devices for Detection and Management of LymphedemaEffective March 1, 2026, prior author...

Effective February 15, 2026, professional claims for Physical Therapy (PT), Speech Therapy (ST) and ...

We have completed our review of the January 2026 Healthcare Common Procedure Coding System (HCPCS) c...

We have completed our review of the January 2026 CPT code changes, including any category II perform...

Timely Filing This policy was updated to reflect a few changes:A reminder to providers about co...

Biomarker Testing in Risk Assessment and Management of Cardiovascular Disease   &nbsp...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

COVID-19 Monoclonal Antibody Treatment and Antiviral IV MedicationsThis policy was updated to correc...

*NEW POLICY* Prior Authorization of Physical and Occupation Therapy ServicesEffective January 1, 202...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policies were created. Effective dates vary so please review the full text of thes...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

We have completed our review of the October 2025 Healthcare Common Procedure Coding System (HCPCS) c...

Preventative Services for Commercial Members policyThis policy was updated to meet HRSA guidelines e...

Cranial Orthoses (Adjustable) for Positional Plagiocephaly and Craniosynostoses   &nb...

The following policies were recently reviewed for annual update. The full texts of these policies ar...

The following new policies were created. Effective dates vary so please review the full text of thes...

BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...

We have updated the verbiage in this policy to read: BCBSRI requires claims for lactation consultati...

  Effective 11/1/2025, this policy will be updated to include Fully-Funded Commercial Products....