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

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  • Adrenal to Brain Transplantation
  • Anastomosis of Extracranial-Intracranial Arteries
  • Asthma Management Services
  • Behavioral Health Outpatient Professional Services
  • Behavioral Health Services Inpatient and Intermediate Levels of Care
  • Behavioral Health Supervisory Protocol for Licensed Clinical Social Workers and Post Doctorate Clinicians
  • CA-125
  • Dermatologic Applications of Photodynamic Therapy
  • Fecal Calprotectin Testing
  • Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disorders
  • Immune Cell Function Assay
  • Intracellular Micronutrient Analysis
  • Laser Interstitial Thermal Therapy for Neurological Conditions
  • Laser Treatment of Onychomycosis
  • Magnetic Capsule Endoscopy
  • Medical Necessity
  • Measurement of Lipoprotein-Associated Phospholipase A2 in the Assessment of Cardiovascular Risk *Title change only. Old title: Measurement of Small Low-Density Lipoprotein (LDL) Particles)
  • New Technology and Miscellaneous Services
  • Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
  • Phototherapy in the Home for the Treatment of Dermatological Conditions
  • Psychological and Neuropsychological Testing
  • Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions
  • Rhinomanometry and Acoustic Optical Rhinomanometry
  • Serum Biomarker Human Epididymis Protein 4
  • Transcranial Magnetic Stimulation (TMS)
  • Urinary Biomarkers for Cancer Screening, Diagnosis, and Surveillance
  • Vitamin-D Testing

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."