- P = Professional
- B = Behavioral health
- F = Facilities
BCBSRI Update
P F
Jan 1, 2020
Effective 9/23/2019, the commercial criteria for diagnostic facet joint injections includes planned ...
P B F
Jan 1, 2020
During this year’s Medicare Annual Election Period (AEP), Blue Cross & Blue Shield of Rhode Isla...
P B F
Jan 1, 2020
BCBSRI is excited to welcome two new large employer accounts as of January 1, 2020: The State of Rho...
P B F
Jan 1, 2020
Effective 01/01/2020 Medicare Members who selected the new HealthMate Coast-to-Coast PPO (HealthMate...
P B
Dec 1, 2019
As a reminder for pediatricians and clinicians working with children and adolescents, we have an agr...
P B F
Dec 1, 2019
During this year’s Medicare Annual Election Period (AEP), Blue Cross & Blue Shield of Rhode Isla...
P B F
Dec 1, 2019
The enhanced BlueCHiP for Medicare Value (HMO-POS) plan, new for 2020, delivers maximum savings by m...
P B F
Dec 1, 2019
BCBSRI is excited to welcome two new large employer accounts as of January 1, 2020: The State or Rho...
P
Nov 1, 2019
Beginning November 1, 2019, Health Trio has been updated to change default referrals from one year t...
P
Oct 1, 2019
National Depression Screening Day, held annually on the Thursday of the first full week in October, ...
P
Oct 1, 2019
Beginning November 1, 2019, Health Trio will be updated to change default referrals from one year to...
P
Sep 1, 2019
Beginning November 1, 2019, Health Trio will be updated to no longer default referrals to one year. ...
P F
Sep 1, 2019
MHK (formerly MedHOK) will soon serve as our new mechanism for entering prior authorization requests...
P F
Aug 1, 2019
MHK will serve as the new mechanism for entering prior authorization requests for both outpatient se...
P
Aug 1, 2019
Currently, Blue Cross & Blue Shield of Rhode Island (BCBSRI) utilizes eviCore for high-end radio...
P B F
Aug 1, 2019
On October 1, 2019, Blue Cross & Blue Shield of Rhode Island (BCBSRI) will launch a new version ...
P
Aug 1, 2019
In early June, BCBSRI held two webinars to discuss cardiology and orthopedic specialist performance ...
P
Jul 1, 2019
Effective March 26, 2019, BCBSRI implemented new credentialing requirements for nurse practitioners ...
P F
Jul 1, 2019
We’re excited to announce the implementation of MHK (formerly known as MedHOK) in September 2019. MH...
P B F
Jun 1, 2019
Following the first annual LGBTQ Cultural Competency Summit, which took place last October in Washin...
P F
Jun 1, 2019
We’re excited to announce the implementation of MHK (formerly known as MedHOK) in September 2019. MH...
P
May 1, 2019
Our Utilization Management (UM) department has streamlined the PCP admission request process for ski...
P
May 1, 2019
This year, BCBSRI will roll out a specialist-focused performance rating program to provide and share...
P
May 1, 2019
In the January Provider Update, Gus Manocchia, M.D., BCBSRI’s executive vice president and chief med...