The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com.
- After Hours and Special Services and Reports
- Allergy and Immunotherapy Services
- Anastomosis of Extracranial-Intracranial Arteries
- Auditory Brain Stem Implant
- Automated Testing Devices
- Autologous Platelet-Derived Growth Factors
- Behavioral Health Inpatient and Intermediate Levels of Care
- Benign Skin Lesions and Viral Infectious Lesion Removal
- Biofeedback
- Breast Pumps-Hospital Grade
- Buprenorphine Implant for Treatment of Opioid Dependence
- CA 125
- Care Plan Oversight
- Cochlear Implants
- Coding and Payment Guidelines
- Confocal Laser Endomicroscopy
- Constraint-Induced Movement Therapy
- Cranial Electrotherapy Stimulation and Auricular Electrostimulation
- Dynamic Posturography
- Electromagnetic Navigation Bronchoscopy
- Evaluation of Hearing Impairment or Loss
- Hyperbaric Oxygen Therapy
- Home Health Service – Non-Skilled
- Home Health Services – Skilled
- Long Term Acute Care Hospital Admission and Transition of Care Criteria
- Medically Necessary
- Medicare Diabetes Prevention Program (MDPP)
- Minimally Invasive Coronary Artery Bypass Graft Surgery
- Post-Partum Hospital Stays Mandate
- Post Payment Audits
- Risk Reducing Mastectomy (Formally Prophylactic Mastectomy)
- Serum Tumor Markers for Breast and Gastrointestinal Malignancies
- Steroid-Eluting Sinus Stents
- Surgical Deactivation of Migraine Headache Trigger Points
- Surgical Ventricular Restoration
- Telemedicine/Telehealth Medical Policy
- Temporary Prostatic Stent
- Vestibular Function Tests
- Wig Mandate
We also post monthly drafts of medical policies being created or reassessed for your review. As a reminder, you can provide comments on draft policies for up to 30 days. Draft policies are located on the Provider homepage, under the Medical Policies section, under the drop-down “Draft Medical Policies."