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

BCBSRI Update

P B F
Dec 1, 2023
If you are correcting a claim due to an audit finding, you must submit medical records with your cor...
P B F
Dec 1, 2023
Mental health counselors and marriage and family therapists will be allowed to render services to Me...
P F
Dec 1, 2023
Effective January 1, 2024, notification and prior authorization will no longer be required for home ...
P F
Dec 1, 2023
Effective January 1, 2024, the following updates will be made in MHK for the following InterQual sub...
P B F
Dec 1, 2023
Effective January 1, 2024, FEP will follow CMS guidelines regarding eligibility for the FEP Medicare...
P
Dec 1, 2023
For providers who require assistance with the Health Trio application, you may contact our Provider ...
P B
Dec 1, 2023
When submitting retroactive/post-service authorizations through the BCBSRI MHK Provider Portal, the ...
P F
Nov 1, 2023
Effective January 1, 2024, Mental Health Counselors and Marriage and Family Therapist will be allowe...
P F
Nov 1, 2023
Effective January 1, 2024, notification and prior authorization will no longer be required for home ...
P F
Nov 1, 2023
In light of the recent Food and Drug Administration (FDA) approval and Centers for Disease Control a...
P F
Nov 1, 2023
Effective January 1, 2024 the following updates will be made in MHK for the following InterQual subs...
P B F
Nov 1, 2023
Effective January 1, 2024, FEP will follow CMS guidelines regarding eligibility for the FEP Medicare...
P B F
Nov 1, 2023
At BCBSRI, we believe that high-quality care is equitable care, and we are committed to providing th...
P B F
Nov 1, 2023
Rhode Island Energy's member ID cards have been updated with Anthem Blue Cross. If a member is prese...
P F
Oct 1, 2023
In light of the recent Food and Drug Administration approval and Centers for Disease Control and Pre...
P F
Oct 1, 2023
Effective January 1, 2024, Notification and Prior Authorization will no longer be required for Home ...
P B F
Oct 1, 2023
Effective January 1, 2024, Mental Health Counselors and Marriage and Family Therapist will be allowe...
P F
Sep 1, 2023
As a reminder, according to our Vitamin-D Testing Medical Policy, CPT Codes 82306 (Vitamin D; 25 hyd...
P B F
Sep 1, 2023
On the BCBSRI MHK Provider Portal, provider correspondence is now available under the “View Authoriz...
P B F
Aug 1, 2023
The MHK Provider Portal has had a system upgrade as of 7/28. We are asking that providers please cle...
P F
Aug 1, 2023
Effective November 1, 2023, there are revisions to the Change Healthcare InterQual criteria for the ...
P F
Jul 1, 2023
The Urban Perinatal Education Center is hosting the Rhode Island Black Maternal Mental Health Summit...
P B F
Jul 1, 2023
Primary care providers (PCPs) accept responsibility for arranging and coordinating our members’ over...
P B F
Jul 1, 2023
The D-SNP Quality Performance Improvement Plan (QPIP) documents how BCBSRI collects, assesses, and a...