CommercialDocumentationHigh impact
Part 2 Program update
Blue Cross Blue Shield of Rhode Island·RI · Psychiatry, Family Medicine, Internal Medicine +1 more·Provider Update
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Starting January 1, 2025, BCBSRI will require specific TPO (Treatment, Payment, and Health Care Operations) consent forms for all Part 2 Programs that treat substance use disorders. Claims will be denied if compliant consent is not obtained and retained.
Action Required
Before January 1, 2025: If your practice treats substance use disorders and is subject to 42 CFR Part 2, implement new TPO consent forms that include patient information, provider disclosure permissions, treatment/payment operations statements, information disclosure details, and expiration/revocation terms. Billing team must establish system to retain records of which claims are subject to Part 2 and copies of consent forms, making them available to BCBSRI upon request. Failure to obtain compliant consent will result in claim denials.