Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross Blue Shield of Rhode IslandCommercial · Coverage · Physician · RI · Family Medicine, Internal Medicine, General Practice +2 moreHigh impact

Transitional care management, chronic care management, and principal care management services

Act
immediately
Effective date
Jan 1, 2025
Identified
Jun 19, 2026

Summary

BCBSRI will now separately reimburse transitional care management, chronic care management, and principal care management services effective January 1, 2025. Nine specific CPT codes (99495, 99496, 99424, 99425, 99426, 99427, 99490, 99439, G0506) are now billable separately, while four codes remain non-reimbursable.

Get alerts when payers change rules like this one

We check Blue Cross Blue Shield of Rhode Island and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross Blue Shield of Rhode Island alertsPolicy Monitoring is free. No card required.

What to do

immediately · 4 steps
01Billing team must update system to allow separate billing for CPT codes 99495, 99496, 99424, 99425, 99426, 99427, 99490, 99439, and G0506 for BCBSRI members.
02Ensure codes 99437, 99487, 99489, and 99491 remain flagged as non-separately reimbursable.
03Update encounter forms to reflect new billable care management services.
04Verify network provider status as these services are not covered for non-network providers.

Codes mentioned

9949599496994249942599426994279949099439G050699437994879948999491

Original notice

Transitional care management, chronic care management, and principal care management services
bcbsri.com · Always check the source before changing claims.
View original ↗

Related changes

See all Blue Cross Blue Shield of Rhode Island changes →
Transitional Care Management, Chronic Care Management, and Principal Care Management servicesMediumEffective Jan 1, 2025 · PhysicianTransitional Care Management, Chronic Care Management, and Principal Care Management servicesHighEffective Jan 1, 2025 · Physician / FacilityTransitional care management, chronic care management, and principal care management servicesMediumEffective Jan 1, 2025 · PhysicianCPT code changesHighEffective Jan 1, 2022 · Physician / FacilityBrowse every Blue Cross Blue Shield of Rhode Island change in the policy list

Related policy hubs

Blue Cross Blue Shield of Rhode Island policiesRI policy changesFamily MedicineInternal MedicineGeneral PracticePediatricsGeriatricsCode 99495Code 99496Code 99424Code 99425Code 99426Code 99427Code 99490Code 99439Code G0506Code 99437Code 99487Code 99489Code 99491

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account