The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Confocal Laser Endomicroscopy
- Contraceptive Drugs and Devices Mandate
- Esophageal pH Monitoring
- Genetic Testing Services
- Injectable Bulking Agents for Urinary and Fecal Incontinence
- Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders
- Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease
- Neural Therapy
- Payments for Outpatient Service Performed when a member is Admitted as an Inpatient to a Different Hospital
- Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
- Pharmacy Prescription Early Refill
- Prior Authorization of Cardiology and Radiology Services
- Professional Reporting Requirements for Services not Personally Performed (a.k.a. “Incident to Services”)
- Prolotherapy
- Proprietary Laboratory Analyses
- Pulsed Radiofrequency for the Treatment of Chronic Pain
- Venipuncture for State Mandated Lead Screening
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.”