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

Behavioral Health

B
Dec 1, 2018
The HEDIS measure Follow-Up Care for Children Prescribed ADHD Medication focused on the percentage o...
B
Dec 1, 2018
The HEDIS measure Antidepressant Medication Management (AMM) applies to the percentage of members wh...
P B F
Oct 1, 2018
National Depression Screening Day, held annually on the Thursday of the first full week in October, ...
P B F
Sep 1, 2018
HealthPath is an innovative program, offered through a partnership between BCBSRI and Care New Engla...
P B F
Sep 1, 2018
BCBSRI is piloting a program through Anchor Recovery/The Providence Center that will provide an oppo...
P B F
Sep 1, 2018
Every September, the Substance Abuse and Mental Health Services Administration (SAMHSA) sponsors Nat...

Pharmacy

P F
Aug 1, 2025
The following drugs will require Prior Authorization beginning on August 1, 2025 for Commercial only...
P B F
Jul 1, 2025
Large Group and Small Group Markets Formulary The information below is effective as of July 1, ...
P F
Jul 1, 2025
The following drugs will require PA effective July 1, 2025. ...
P B F
Jun 1, 2025
Large Group and Small Group Markets Formulary The information below is effective as of July 1, ...
P F
Apr 1, 2025
The following drugs will require PA effective 4/1/25...
P B F
Mar 1, 2025
Large Group and Small Group Markets FormularyThe information below is effective as of April 1, 2025,...
P F
Feb 1, 2025
The following drugs will require authorization in 2025:Drug NameGenericCodeMedicare Effective DateCo...
P F
Dec 1, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Dec 1, 2024
The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that wor...
P F
Nov 1, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Nov 1, 2024
The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that wor...
P F
Oct 22, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Oct 1, 2024
Large Group and Small Group Markets FormularyThe information below is effective as of October 1, 202...
P F
Oct 1, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P F
Sep 1, 2024
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P F
Aug 1, 2024
Drug Ilumya (J3256) has been listed as not needing a Prior Authorization (PA) for Commercial members...
P F
Jul 1, 2024
Drug Ilumya (J3256) has been listed as not needing a Prior Authorization (PA) for Commercial members...
P B F
Jul 1, 2024
Net Results UpdateThis information is effective as of July 1, 2024, and applies to all commercial em...