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

Policies

P F
Oct 1, 2021
Effective December 1, 2021, the Cryosurgical Ablation of Miscellaneous Solid Tumors other than Renal...
P F
Oct 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P
Oct 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Sep 1, 2021
Effective November 1, 2021, for commercial products, criteria used for medical necessity review of t...
P F
Sep 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Sep 1, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Sep 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P B
Aug 4, 2021
Effective 10/4/2021, BCBSRI will allow for a supervisory protocol whereby Licensed Clinical Social W...
P F
Aug 1, 2021
As a reminder to all providers, effective January 1, 2021, BCBSRI updated the Prolonged Physician Se...
P F
Aug 1, 2021
Effective September 1, 2021, for Medicare Advantage plans and commercial products, the current unit ...
P F
Aug 1, 2021
Effective October 1, 2021, the policy for Surgical Treatments for Breast Cancer-Related Lymphedema i...
P F
Aug 1, 2021
Effective October 1, 2021, the Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperp...
P F
Aug 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Aug 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jul 1, 2021
Effective September 1, 2021, the Medicare Advantage Plans medical criteria for brand name test Decip...
P F
Jul 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
Jul 1, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
Jul 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
Jun 1, 2021
We have completed our review of the June 2021 CPT code changes, including any Category II performanc...
P F
Jun 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
Jun 1, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
May 1, 2021
We have completed our review of the April 2021 CPT code changes, including any Category II performan...
P
May 1, 2021
Effective July 1, 2021, the following changes are being made for several genetic testing services:  ...
P F
May 1, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...