- P = Professional
- B = Behavioral health
- F = Facilities
Behavioral Health
B
Feb 1, 2019
On August 1, 2018, BCBSRI changed its process to no longer require utilization review (prior approva...
B
Jan 1, 2019
National Drug and Alcohol Facts Week takes place from January 22-27, 2019. This week is sponsored by...
B
Dec 1, 2018
The HEDIS measure Follow-up After Hospitalization for Mental Illness (FUH) is the percentage of disc...
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 18, 2026
BCBSRI would like to inform providers of an upcoming change in coverage for the medications listed b...
P F
Aug 1, 2026
Effective September 1, 2026, iDose TR (J7355) and Durysta (J7351) will require prior authorization u...
P F
Jul 1, 2026
Effective September 1, 2026 iDose TR (J7355) and Durysta (J7351) will require a prior authorization ...
P F
Apr 1, 2026
The following drugs will require PA effective April 1, 2026 ...
P B F
Apr 1, 2026
Large Group and Small Group Markets FormularyThe information at the link above is effective as of Ap...
P F
Apr 1, 2026
The following brand name and generic drugs with preferred alternatives be excluded from coverag...
P F
Mar 1, 2026
The following drugs will require PA effective March 1, 2026 The following drugs are new to the ...
P F
Mar 1, 2026
Effective February 26, 2026 Apretude® will transition from the medical benefit to the pharmacy (Rx) ...
P B F
Mar 1, 2026
Large Group and Small Group Markets FormularyThe information in the link above is effective as of Ap...
P F
Mar 1, 2026
The following brand name and generic drugs with preferred alternatives be excluded from coverag...
P F
Feb 1, 2026
The following drugs will require PA effective February 1, 2026 RXGenericHCPCS CodeProductEffect...
P B F
Jan 1, 2026
The following drugs will require PA effective January 1, 2026 ...
P F
Dec 1, 2025
The following drugs are new to the market effective December 1, 2025 and all require prior authoriza...
P B F
Nov 1, 2025
The following drugs will require Prior Authorization beginning on October 1, 2025 for Commercial and...
P B F
Oct 1, 2025
The following drugs will require Prior Authorization beginning on October 1, 2025 for Commercial and...