All PlansCoverageMedium impact
Policies recently reviewed for annual update
Blue Cross Blue Shield of Rhode Island·RI · Cardiology, Gastroenterology, Endocrinology +4 more·Physician / Facility
Effective date
Apr 1, 2026
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has completed their annual review of 21 medical policies effective April 1, 2026, covering various diagnostic tests, surgical procedures, and treatments. The billing team should review the updated full policy texts available on the BCBS RI provider website to identify any changes in coverage, prior authorization requirements, or billing guidelines.
Action Required
By April 1, 2026: Billing team and providers must review all 21 updated policies listed in the notification on bcbsri.com Provider section to identify any changes in coverage criteria, prior authorization requirements, or documentation needs. Update internal billing guidelines, prior auth checklists, and encounter forms based on any identified changes. Pay particular attention to policies for commonly billed services like bone turnover markers, fecal calprotectin testing, and minimally invasive procedures.