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Sep 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:

  • Bronchial Valves
  • Chromoendoscopy as Adjunct to Colonoscopy
  • Dental Providers Filing Evaluation and Management for Medical Reasons
  • Desensitization Treatment for Peanut Allergies
  • Electromagnetic Navigational Bronchoscopy
  • Hospital Readmission
  • Hospital Utilization Review
  • Human Leukocyte Antigen (HLA) Testing Mandate
  • Knee Walker
  • Lyme Disease Diagnosis and Treatment Mandate
  • Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain
  • Physician Concierge Services
  • Private Duty Nursing
  • Proteogenomic Testing for Patients with Cancer
  • Treatment for Duchenne Muscular Dystrophy
  • Wig 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.”