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

Policies

P F
1 Set, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Set, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
1 Set, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P B
4 Ago, 2021
Effective 04/10/2021, BCBSRI will allow for a supervisory protocol whereby Licensed Clinical Social W...
P F
1 Ago, 2021
As a reminder to all providers, effective 1 de janeiro, 2021, BCBSRI updated the Prolonged Physician Se...
P F
1 Ago, 2021
Effective 1 de setembro, 2021, for Medicare Advantage plans and commercial products, the current unit ...
P F
1 Ago, 2021
Effective 1 de outubro, 2021, the policy for Surgical Treatments for Breast Cancer-Related Lymphedema i...
P F
1 Ago, 2021
Effective 1 de outubro, 2021, the Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperp...
P F
1 Ago, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 Ago, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Jul, 2021
Effective 1 de setembro, 2021, the Medicare Advantage Plans medical criteria for brand name test Decip...
P F
1 Jul, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P F
1 Jul, 2021
The following new policy has been created. Effective dates vary so please review the full text of th...
P B F
1 Jul, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Jun, 2021
We have completed our review of the 20 de junho21 CPT code changes, including any Category II performanc...
P F
1 Jun, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 Jun, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P
1 de maio, 2021
We have completed our review of the 20 de abril21 CPT code changes, including any Category II performan...
P
1 de maio, 2021
Effective 1 de julho, 2021, the following changes are being made for several genetic testing services:  ...
P F
1 de maio, 2021
The following policies were recently reviewed for annual update. The full texts of these policies ar...
P B F
1 de maio, 2021
BCBSRI must follow CMS guidelines for national coverage determinations (NCDs) or local coverage dete...
P F
1 Abr, 2021
We have completed our review of the 20 de abril21 CPT code changes, including any Category II performan...
P F
1 Abr, 2021
Effective 1 de junho, 2021, the allowable code list will be updated within this payment policy for hospi...
P F
1 Abr, 2021
Effective 1 de junho, 2021, medical necessity criteria will be added for the AlloSure Heart and AlloSure...