The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:
- Acute Inpatient Rehabilitation Level of Care
- Autonomic Nervous System Testing Using Portable Automated Devices
- Balloon Spacers for the Treatment of Irreparable Rotator Cuff of the Shoulder
- Bronchial Valves
- Cardiac Hemodynamic Monitoring
- Cardiointegram
- Constraint-Induced Movement Therapy
- Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses
- Disposable Negative Pressure Wound Therapy
- Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
- First-Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers
- Home Prothrombin Time Monitoring
- Ingestible Devices for the Treatment of Constipation
- Mass Spectrometry (MS) Testing in Monoclonal Gammopathy
- Phrenic Nerve Stimulation for Central Sleep Apnea
- Prior Authorization Cardiology and Radiology Services
- Private Duty Nursing
- Salivary Estriol as Risk Predictor for Preterm Labor and Management of Menopause and/or Aging
- Skilled Nursing Facilities (SNF) - Admission and Concurrent Review
- Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcer, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions
- Transcatheter Tricuspid Valve Repair or Replacement (T-TEER or TTVR)
- Transtympanic Micropressure Applications as a Treatment of Meniere’s Disease
- Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Artherosclerosis
- Vertebral Axial Decompression
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 “Draft Medical Policies” drop-down.