P F
1 Mar, 2022

Policies recently reviewed for annual update

The following policies were recently reviewed for annual update. The full texts of these policies are available in the Provider section of bcbsri.com:

  • Confocal Laser Endomicroscopy
  • Contraceptive Drugs and Devices Mandate
  • Esophageal pH Monitoring
  • Genetic Testing Services
  • Injectable Bulking Agents for Urinary and Fecal Incontinence
  • Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders
  • Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease
  • Neural Therapy
  • Payments for Outpatient Service Performed when a member is Admitted as an Inpatient to a Different Hospital
  • Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
  • Pharmacy Prescription Early Refill
  • Prior Authorization of Cardiology and Radiology Services
  • Professional Reporting Requirements for Services not Personally Performed (a.k.a. “Incident to Services")
  • Prolotherapy
  • Proprietary Laboratory Analyses
  • Pulsed Radiofrequency for the Treatment of Chronic Pain
  • Venipuncture for State Mandated Lead Screening

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."