Beginning February 5, 2024, BCBSRI will no longer require a Notice of Admission for the following services:

• Intensive Outpatient (mental health and/or substance use disorder)
• Child and Family Intensive Treatment (CFIT) 
• Applied Behavior Analysis (ABA) 
• Transcranial Magnetic Stimulation (TMS)

This change will apply to both in-network and out-of-network requests for the above services for Commercial and Medicare Advantage Plans only.  Note:  for Applied Behavior Analysis (ABA) and Transcranial Magnetic Stimulation (TMS) requests, diagnosis requirements for clinical appropriateness will still apply.

As a reminder, the Federal Employee Program (FEP) is exempt from the Notification of Admission process. A medical necessity review is still required for the following in-network behavioral health services: 

• Inpatient Mental Health
• Inpatient Withdrawal Management
• Residential Treatment Center (mental health and/or substance use disorder)
• Applied Behavior Analysis (ABA)
• Transcranial Magnetic Stimulation (TMS)

For additional information, please contact Monica Ross, Behavioral Health Population Health Specialist, at monica.ross@bcbsri.org.