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Sep 1, 2025

PA PCP Reduction for all services (except medications) effective October 1, 2025

At BCBSRI, we continue to improve our members’ health and peace of mind by facilitating their access to affordable and high-quality healthcare. 

We are pleased to announce the expansion of the Primary Care Physician (PCP) burden reduction initiative that we introduced on May 15, 2025. Effective October 1, 2025, providers who are credentialed as an eligible PCP will no longer need to submit prior authorization requests for any admission, item, service, treatment, or procedure, except medications, for fully insured Commercial members only. This change is expected to simplify workflows, reduce delays in patient care, and improve overall provider satisfaction.

Utilizing the eligibility portion of the web your office uses today, you will continue to check the member’s BCBSRI ID. By entering the member’s BCBSRI ID, you will know if the member is fully insured commercial member. 

To join a session, please click on the link below at the time of the training. 

Tuesday, September 16th from 10:00am – 10:30am Click this link to join

Friday, September 19th from 11:30am-12:00pm Click this link to join

Tuesday, September 23rd 8:00am-8:30am Click this link to join

Thursday, September 25th 12:00pm-12:30pm Click this link to join

Monday, September 29th 8:00am-8:30am Click this link to join

Tuesday September 30th 12:00pm-12:30pm Click this link to join

If you have any additional questions about these changes or trainings, please contact Provider Relations at 1-844-707-5627 or ProviderRelations@bcbsri.org.