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Feb 1, 2023

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:

  • Autism Spectrum Disorders Mandate
  • Balloon Dilation of the Eustachian Tube
  • Hospital Based Clinics
  • Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
  • Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandate
  • Mental Illness and Substance Use Disorders Mandate
  • Microwave Tumor Ablation
  • Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
  • Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
  • Physical and Occupational Therapy Payment Cap
  • Sphenopalatine Ganglion Block for Headache
  • Transcranial Magnetic Stimulation

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.”