- P = Professional
- B = Behavioral health
- F = Facilities
Policies
P F
1 nov, 2019
Effective 1 de enero de 2020, the prior authorization requirement will be removed from Outpatient Pulmo...
P F
1 nov, 2019
Effective 1 de enero de 2020, the Aqueous Shunts and Stents for Glaucoma policy will be updated to refl...
P F
1 nov, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P B F
1 nov, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 oct, 2019
We have completed our review of the additional CPT and HCPCS code changes for 20 de octubre19. These up...
P F
1 oct, 2019
It is incorrect coding to file for depression screening (G0444) with the annual wellness visit for B...
P F
1 oct, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
1 oct, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 oct, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 sep, 2019
The following information has been updated in the Infertility Services policy to provide clarity. N...
P F
1 sep, 2019
Effective 1 de noviembre de 2019, digestive enzymes added to enteral formula via a cartridge device attach...
P F
1 sep, 2019
The following policies were recently reviewed for annual update. The full text of these policies are...
P F
1 sep, 2019
The following new policies have been created. Effective dates vary so please review the full text of...
P B F
1 sep, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 ago, 2019
We have completed our review of the July additional CPT and HCPCS code changes. These updates have b...
P F
1 ago, 2019
The Homocysteine Testing in the Screening, Diagnosis and Management of Cardiovascular Disease policy...
P F
1 ago, 2019
Effective 1 de octubre de 2019, Hyperbariac Oxygen Therapy will no longer require prior authorization for...
P F
1 ago, 2019
Effective 1 de octubre de 2019, the medical criteria for prior authorization is being updated for the Art...
P F
1 ago, 2019
Effective 1 de octubre de 2019, the Prolaris™ assay (CPT code 81541) found in the medical policy Gene Exp...
P F
1 ago, 2019
Reminder, to ensure that claims submitted for routine foot care and nail debridement are processed c...
P F
1 ago, 2019
Ambulance Air and Water Transport BCBSRI Performance Data for Health Care Operations Buprenorphine...
P F
1 ago, 2019
The following new policies were created. Effective dates vary so please review the full text of thes...
P B F
1 ago, 2019
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 jul, 2019
Effective 1 de septiembre de 2019, CPT 97610, low frequency, non-contact, non-thermal ultrasound, includin...