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 (AIS CFIT)
- Behavioral Health Inpatient and Intermediate Levels of Care
- Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
- Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids
- Lyme Disease Diagnosis and Treatment Mandate
- Mammograms and Pap Smears Mandate
- Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate
- Medical Supply Wastage
- Mental Illness and Substance Use Disorders Mandate
- Modifier 22 Guidelines
- Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
- Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
- Oral Nutrition Mandate
- Orally Administered Anticancer Medication Mandate
- Peripheral Artery Disease Rehabilitation
- Saturation Biopsy for the Diagnosis, Staging and Management of Prostate Cancer
- Scintimammography and Gamma Imaging of the Breast and Axilla
- Smoking Cessation Mandate
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.”