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Blue Cross Blue Shield of Rhode IslandCommercial · Administrative · Provider Update · RIMedium impact

Subject: CMS-0057 Electronic Prior Authorization – Provider Readiness and Onboarding

Effective date
Jan 1, 2027
Identified
Oct 31, 2026

Summary

Blue Cross & Blue Shield of Rhode Island (BCBSRI) is implementing electronic prior authorization capabilities under the CMS-0057 Interoperability and Prior Authorization Final Rule, effective January 1, 2027. Providers must identify appropriate EHR, IT, and operational contacts and begin onboarding coordination to support electronic prior authorization and provider access capabilities through their EHR systems.

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What to do

Action · 3 steps
01Before January 1, 2027: Identify the appropriate EHR, IT, operational, and clinical contacts within your organization and have them review the BCBSRI Provider Onboarding Guide.
02Contact interops-onboarding@bcbsri.org to initiate onboarding activities and schedule an introductory onboarding session.
03Confirm whether your EHR currently supports electronic prior authorization capabilities and coordinate with BCBSRI's onboarding team to understand the implementation timeline and any support needed for your organization.

Original notice

Subject: CMS-0057 Electronic Prior Authorization – Provider Readiness and Onboarding
bcbsri.com · Always check the source before changing claims.
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