The following policies were recently reviewed for annual update. The full text of these policies are available in the Provider section of bcbsri.com.
- Axial Lumbosacral Interbody Fusion
- Behavioral Health Services
- Cochlear Implants
- Colorectal Screening Mandate
- Dry Needling of Myofascial Trigger Points
- Home Uterine Activity Monitoring
- Hyperthermia for Cancer Treatment
- Intraocular Lens (IOL) Implants
- Measurement of Small Low-Density Lipoproteins (LDL) Particles
- Mental Illness and Substance Use Disorders Mandate
- New Provider Credentialing Process
- Ophthalmologic Techniques for Evaluating the Posterior Segment for Glaucoma
- Orthotic and Prosthetic Services Mandate
- Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain
- Percutaneous Electrical Nerve Stimulation and Percutaneous Neuromodulation Therapy
- Peripheral Subcutaneous Field Stimulation
- Private Duty Nursing
- Progesterone Therapy as a Technique to Reduce Preterm Birth in High-Risk Pregnancies
- Prolia and Xgeva (denosumab)
- Prolonged Physician Services
- Prostatic Urethral Lift
- Provenge (sipuleucel-T)
- Radicava (edaravone)
- Self-Treatment or Treatment of Immediate Family Members
- Spinraza (nusinersen)
- Stelara (ustekinumab)
- Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Artherosclerosis
- Viscocanalostomy and Canaloplasty
- Xiaflex (clostridial collagenase)
- Yescarta (axicabtagene)
For your review, we also post monthly drafts of medical policies being created or reassessed. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies.”