The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Adult Child and Family Intensive Services
- Artificial Intervertebral Disc Insertion Lumbar Spine
- Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer
- Bariatric Surgery
- Cardiac Rehabilitation
- Chelation Therapy for Off-label Uses
- Chronic Intermittent Intravenous Insulin Therapy
- Cochlear Implants
- Comprehensive Genomic Profiling for Selecting Targeted Cancer Therapies
- Corneal Collagen Cross Linking
- Corneal Topography, Computer Assisted Corneal Topography
- Cosmetic Services/Procedures
- Dermatologic Applications of Photodynamic Therapy
- Diagnosis and Treatment of Sacroiliac Joint
- Epidural Injections for Pain Management
- Focal Treatment of Prostate Cancer
- Gender Reassignment Surgery
- High Risk Maternity Visits
- Home Spirometry
- Immunizations Adult and Pediatric
- Ingestible pH and Pressure Capsule
- Intravitreal and Punctum Corticosteroid Implants (updated covered diagnosis list)
- Lactation Consultations
- Medical Necessity
- Meniscal Allograft Transplantation and Collagen Meniscus Implants
- Molecular Markers in Fine Needle Aspiration of the Thyroid
- Myoelectric Assist Orthoses for the Upper Limb
- Ocriplasmin for Symptomatic Vitreomacular Adhesions
- Ophthalmologic Techniques that Evaluate the Posterior Segment Glaucoma
- Outpatient Pulmonary Rehabilitation
- Prior Authorization for Procedures
- Prior Authorization via Web-Based Tool for Durable Medical Equipment (DME)
- Provider Credentialing and Recredentialing Process (Updated Title)
- Telemedicine Services for Commercial Products
- Therapeutic Eyeglasses and Contact Lenses
- Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
We also post monthly drafts of medical policies being created or reassessed for your review. 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.”