Traditional MedicarePrior AuthMedium impact
Turnaround Time for Authorizations changing
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
BCBSRI is reducing the turnaround time for routine prior authorization decisions from 14 calendar days to 7 calendar days, effective January 1, 2026. This change applies to both Medicare and Medicaid cases and follows new CMS requirements.
Action Required
Before January 1, 2026: Update staff workflows and patient communication processes to expect faster authorization decisions within 7 calendar days instead of 14 days. Adjust scheduling and treatment planning timelines accordingly for BCBSRI Medicare and Medicaid cases requiring routine authorizations.