• P = Professional
  • B = Behavioral health
  • F = Facilities

Policies

P B F
Apr 1, 2023
Policies recently reviewed for annual update
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Apr 1, 2023
New policy
The following new policy was recently created: Minimal Residual Disease Testing for Cancer – This n...
P B F
Apr 1, 2023
BlueCHiP for Medicare national and local coverage determinations policy
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Mar 1, 2023
Additional CPT code changes
We have completed our review of the April 2023 CPT code changes, including any category II performan...
P F
Mar 1, 2023
Policy updates
Orthognathic Surgery          Effective May 1, 2023, these services will now be medically necessar...
P B F
Mar 1, 2023
Policies recently reviewed for annual update
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Mar 1, 2023
New policy
The following new policy was recently created:Temporarily Implanted Nitinol Device (iTind) for Benig...
P B F
Mar 1, 2023
BlueCHiP for Medicare national and local coverage determinations policy
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Feb 1, 2023
Policy updates
Focal Treatments for Prostate Cancer Effective April 1, 2023, High-Intensity Focused Ultrasound wi...
P F
Feb 1, 2023
Prior Authorization of Spinal Procedures
Effective February 1, 2023, due to eviCore’s Prior Authorization of Spinal Procedures for Medicare A...
P F
Feb 1, 2023
Policies recently reviewed for annual update
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Feb 1, 2023
New policy
The following new policy was recently created:Transfers Between DRG Facilities    Effective dates ca...
P B F
Feb 1, 2023
BlueCHiP for Medicare national and local coverage determinations policy
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jan 1, 2023
CPT code changes
We have completed our review of the January 2023 CPT code changes, including any category II perform...
P F
Jan 1, 2023
Additional HCPCS Level II Code Changes and Modifier Changes
We have completed our review of the January 2023 Healthcare Common Procedure Coding System (HCPCS) c...
P F
Jan 1, 2023
Policy updates
Tumor Treating Fields Therapy                                                  Effective March 1, 2...
P F
Jan 1, 2023
Policies recently reviewed for annual update
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jan 1, 2023
New policies
The following new policies were recently created:Prostate Cancer for Detection with IsoPSA - Effecti...
P B F
Jan 1, 2023
BlueCHiP for Medicare national and local coverage determinations policy
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Dec 1, 2022
Policy updates
Glucose Monitoring – Continuous                                                        Effective Ja...
P F
Dec 1, 2022
Policies recently reviewed for annual update
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Dec 1, 2022
New policies
The following new policies were recently created:Digital Health Technologies: Diagnostic Application...
P B F
Dec 1, 2022
BlueCHiP for Medicare national and local coverage determinations policy
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Nov 1, 2022
Policies recently reviewed for annual update
The following policies were recently reviewed for annual update. The full texts of these policies ar...
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