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

Policies

P B F
Dec 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
Nov 8, 2021
BCBSRI has posted a new TEMPORARY COVID-19 Pediatric Vaccination Preventative Medicine Counseling Se...
P F
Nov 1, 2021
Effective January 1, 2022, this policy is being updated to include CPT code 0564T [Oncology, chemo...
P F
Nov 1, 2021
Effective January 1, 2022, colorectal cancer screening will be covered as a preventive health servic...
P F
Nov 1, 2021
Effective January 1, 2022, CPT code 92133 is being removed from the Ophthalmologic Techniques that e...
P F
Nov 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Nov 1, 2021
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
Nov 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Oct 1, 2021
We have completed our review of the October 2021 CPT code changes, including any Category II perform...
P F
Oct 1, 2021
Effective January 1, 2022, colorectal cancer screenings will be covered as a preventive health servi...
P F
Oct 1, 2021
Effective November 1, 2021, Genetic Testing Services will be updated to allow CPT code 81538 for Med...
P F
Oct 1, 2021
Effective December 1, 2021, the Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal...
P F
Oct 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P
Oct 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Sep 1, 2021
Effective November 1, 2021, for commercial products, criteria used for medical necessity review of t...
P F
Sep 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Sep 1, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Sep 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P B
Aug 4, 2021
Effective 10/4/2021, BCBSRI will allow for a supervisory protocol whereby Licensed Clinical Social W...
P F
Aug 1, 2021
As a reminder to all providers, effective January 1, 2021, BCBSRI updated the Prolonged Physician Se...
P F
Aug 1, 2021
Effective September 1, 2021, for Medicare Advantage plans and commercial products, the current unit ...
P F
Aug 1, 2021
Effective October 1, 2021, the policy for Surgical Treatments for Breast Cancer-Related Lymphedema i...
P F
Aug 1, 2021
Effective October 1, 2021, the Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperp...
P F
Aug 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...