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

BCBSRI Update

P B F
1 ene, 2023
Effective 1 de enero de 2023, all existing and new BlueRI for Duals (D-SNP) members will receive new ID...
P B F
1 dic, 2022
As a reminder, the prefix for State of Rhode Island employees is R2I (R 2 and the letter “I"). We ha...
P B F
1 dic, 2022
BlueCHiP for Medicare Advance  Effective 1 de enero de 2023, BlueCHiP for Medicare Advance (Advance) ...
P B F
1 oct, 2022
At BCBSRI, we believe that high quality care is equitable care, and we are committed to providing th...
P B F
1 sep, 2022
BCBSRI continually works to streamline the prior authorization process so we can enhance our member ...
P B F
1 sep, 2022
Special Fraud Alert: OIG Alerts Practitioners To Exercise Caution When Entering Into Arrangements Wi...
P B F
1 ago, 2022
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...
P B F
1 jul, 2022
One of BCBSRI’s top priorities is to give our providers the tools and knowledge necessary to submit ...
P B F
1 jul, 2022
BCBSRI encourages its participating providers to collaborate with us in supporting LGBTQ communities...
P B F
1 jun, 2022
BCBSRI offers a convenient self-service tool to submit prior authorizations online through the MHK P...
P F
16 de mayo de 2022
As you may know, BCBSRI uses InterQual® Criteria Guidelines (InterQual) offered through Change Healt...
P B F
1 de mayo de 2022
Your office could see an increase time for claims processing for some Direct Pay member claims. If a...
P B F
1 de mayo de 2022
How to view authorizations BCBSRI providers can view authorizations in the MHK provider portal by e...
P F
1 de mayo de 2022
Subset: Transcatheter Aortic Valve Replacement (TAVR) 20 de abril22 IQ Revisions Patients with asympto...
P B F
1 abr, 2022
Please note, providers contracted with BCBSRI and utilizing our provider portal should not check the...
P B F
16 mar, 2022
We want to provide you with an update regarding the implementation of the NYC Medicare Advantage Plu...
P
1 mar, 2022
As a reminder, the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey will be se...
P
1 mar, 2022
Effective 20 de diciembre21, the following changes are in effect regarding Medicare LCD for epidural ste...
P B F
1 mar, 2022
Upon enrollment, our members are granted certain rights and protection of these rights in all their ...
P F
1 mar, 2022
Effective 20 de febrero22, IQ Medicare Module InterQual® 2021, Dec. 2021 Release, Medicare: Procedures...
F
25 feb, 2022
BCBSRI will resume prior authorization for Skilled Nursing admission effective 1 de marzo de 2022....
F
3 feb, 2022
Effective 12/31/2021 through 02/28/2022  BCBSRI will suspend prior authorization requirements for Ski...
P
1 feb, 2022
Every March, the Centers for Medicare and Medicaid Services (CMS) sends our members the Medicare Con...
P
1 feb, 2022
You may have patients eligible for HouseCall by Blue, a home-based medical care program offered by B...