The following policies were recently reviewed for annual update. The full text of these policies are available in the Provider section of bcbsri.com.
- Acute Inpatient Rehabilitation Level of Care
- Ambulatory Blood Pressure Monitoring
- Autologous Chondrocyte Transplantation
- Bone Turnover Markers
- Chelation Therapy for Off-Label Use
- Clinical Trials Mandate Commercial
- Electrical Bone Growth Stimulation of Appendicular Skeleton Invasive and Non-Invasive
- First Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum Assessment
- Hearing Aid Mandate
- Lactation Consultation
- Laser Treatment for Proliferative Vascular Lesions
- Long Term Acute Care Hospital(LTACH) Admission and Discharge
- Lysis of Epidural Adhesions
- Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate
- Measurement of Serum Antibodies to Infliximab and Adalimumab
- Medical Necessity
- Molecular Testing in the Management of Pulmonary Nodules
- Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
- Oral Nutrition Mandate
- Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
- Percutaneous Tibial Nerve Stimulation
- Phototherapeutic Keratectomy
- Radium 223 Xofigo for Treatment of Metastatic Castration Resistant Prostate Cancer
- Speech Therapy
- Stereotactic Body Radiation Therapy
- Therapeutic Shoes for Diabetics Mandate
- Timely Filing
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.”