CommercialPrior AuthMedium impact
A one-year check-in
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +2 more·Provider Update
We identified it
Jun 19, 2026
Summary
BCBSRI announced they will eliminate nearly 65% of prior authorization requirements for primary care providers by early 2025, and increased doula service reimbursement from $1,500 to $2,400 annually for all fully insured plans.
Action Required
By early 2025: Monitor BCBSRI communications for detailed list of specific prior authorization requirements being eliminated for PCPs. Update billing workflows and prior auth tracking systems once specific procedures are announced. For doula services: Immediately update fee schedules to reflect increased annual reimbursement limit of $2,400 (up from $1,500) for labor, delivery, and prenatal/postnatal visits.