Programs to support your patients' needs

BCBSRI is committed to developing innovative programs that collaborate with you to support patients. These programs can help them navigate the challenges of complex or advanced illness, support chronic conditions outcomes, and reduce hospitalizations. These programs also can help you:

  • Enhance care coordination, working with your team to help members get the right care at the right time
  • Improve patient outcomes through enhanced support and wrap-around services
  • Reduce administrative burden by helping with the complexities of navigating care

All with no additional cost to providers or patients for program participation.

Use the links below to learn more about each program. The BCBSRI Provider Relations team may be able to help you find other resources not addressed here. Contact BCBSRI Provider Relations at ProviderRelations@bcbsri.org.

NOTA: Not all members are eligible for all programs. Eligibility may vary based on plan, employer, or clinical criteria.

Conditions and programs

Cancer support

Program: Daymark Health

  • Navigation and support for cancer patients
  • 24/7 virtual and in-home care, symptom management, mental health, and social support
  • Complements provider care for seamless experience

Hear directly from one of our members. Watch the video.

Members may be referred by calling Daymark at (401) 203-3779.

Daymark Health logo

Kidney disease (CKD 4-5, ESKD)

Program: Interwell 360

  • Team-based care for advanced kidney disease
  • Clinicians, social workers, and advocates collaborate with providers
  • Individualized care plans, in-person or phone engagement

Members may be referred by calling Interwell at 1-888-233-9499.

Interwell 360 logo

In-home complex care

Program: HouseCall by Blue (ConcertoCare)

  • In-home and virtual care for patients with multiple medical needs
  • 24/7 support for patients, families, and caregivers
  • Teams can include physicians, nurse practitioners, behavioral health providers, pharmacists, care managers, and social workers
  • Providers receive regular, real-time updates and reports

Members may be referred by calling ConcertoCare at 1-888-966-3044.

ConcertoCare logo

Preventive assessment & screening

Program: Care Connectors

  • Health assessments and preventive screenings in homes, mobile clinics, assisted living, telemedicine, and embedded PCP offices
  • Nurse practitioners review history, recommend screenings, and perform point-of-care testing
  • Monthly visit summaries for providers
Care Connectors logo

Congestive heart failure (CHF) & COPD

Program: Advanced Monitoring Caregiving (AMC)

  • Remote patient monitoring for CHF and chronic obstructive pulmonary disease (COPD)
  • Patients receive easy-to-use devices (scale, blood pressure cuff, inhaler sensor, pulse oximeter, smart tablet) for home use
  • Assigned nurse provides coaching, monitors readings, and shares data with providers
  • May help reduce emergency visits and hospitalizations
  • Providers can refer eligible patients directly

Members may be referred by calling AMC at (401) 375-4373.

Advanced Monitoring Caregiving logo

Salud conductual

Program: BCBSRI Behavioral Health Case Management program

  • Staffed by experienced mental health and substance use professionals
  • Education and support
  • Coordination of care
  • Help to close gaps related to social determinants of health

Members may be referred by calling BCBSRI at 1-855-649-1606 Monday through Friday, 8:00 a.m. to 4:30 p.m. or emailing triage_group@bcbsri.org.

Control de la diabetes

Program: Livongo by Teladoc Health

  • Patients receive a connected glucose meter and unlimited strips/lancets
  • Readings upload to a secure account for provider access
  • Health coaches are available for nutrition and lifestyle support

Members may be referred by calling Livongo at 1-800-945-4355.

Livongo by Teladoc Health logo

More information and resources

For more information, use the program links above or contact BCBSRI Provider Relations at ProviderRelations@bcbsri.org.

Providers also may refer patients to BCBSRI Care Management if the patients have unmet needs such as resources or care coordination. Call (401) 459-2273 Monday through Friday, 8:00 a.m. to 4:30 p.m.

Daymark Health, Inc. ("Daymark") es una compañía independiente contratada por Blue Cross & Blue Shield of Rhode Island (BCBSRI) para prestar servicios de coordinación de la atención. Daymark ha contratado a Daymark Health DE LLC (el "Grupo médico") a fin de permitir el acceso a proveedores autorizados empleados del Grupo médico para prestar servicios clínicos.

Interwell Health es una compañía independiente contratada por Blue Cross & Blue Shield of Rhode Island (BCBSRI) para prestar servicios de atención renal avanzado.

ConcertoCare es una empresa independiente contratada por Blue Cross & Blue Shield of Rhode Island (BCBSRI) para proporcionar servicios de apoyo a la salud en el hogar.

Care Connectors Medical Group es una empresa independiente contratada por Blue Cross & Blue Shield of Rhode Island (BCBSRI) para proporcionar servicios de evaluación de la salud.

Advanced Monitoring Caregiving, Inc. es una empresa independiente contratada por Blue Cross & Blue Shield of Rhode Island (BCBSRI) para proporcionar servicios de monitoreo remoto de pacientes.

Livongo by Teladoc Health es una empresa independiente contratada por Blue Cross & Blue Shield of Rhode Island (BCBSRI) para proporcionar control de enfermedades crónicas y otros programas de beneficios para la salud.