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

Policies

P B F
Feb 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Feb 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2024
We have completed our review of the January 2024 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Jan 1, 2024
We have completed our review of the January 2024 CPT code changes, including any category II perform...
P F
Jan 1, 2024
Aqueous Shunts and Stents for Glaucoma Effective March 1, 2024, CPT Codes 66179, 66180, 66184, and 6...
P F
Jan 1, 2024
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Jan 1, 2024
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Dec 1, 2023
Artificial Pancreas Device System     Effective February 1, 2024, we have updated the medically nece...
P B F
Dec 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Dec 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 1, 2023
Some genetic testing services are not covered and a contract exclusion for any self-funded group tha...
P F
Nov 1, 2023
Home Health Care Services – Skilled Services Effective January 1, 2024, home health care services (H...
P B F
Nov 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Nov 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
Oct 11, 2023
We have completed our review of the October 2023 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Oct 1, 2023
We have completed our review of the October 2023 CPT code changes, including any category II perform...
P F
Oct 1, 2023
Digital Health Technologies for Attention Deficit/Hyperactivity Disorder (REVISED POLICY TITLE The a...
P F
Oct 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Oct 1, 2023
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
Oct 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Sep 1, 2023
Emergency Department Services/Waiver of Copayment                                                   ...
P B F
Sep 1, 2023
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Sep 1, 2023
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
Aug 1, 2023
We have completed our review of one additional new Healthcare Common Procedure Coding System (HCPCS)...