Medicare AdvantageAdministrativeLow impact
Matters of the heart
Blue Cross Blue Shield of Rhode Island·RI · Cardiology, Family Medicine, Internal Medicine +1 more·Provider Update
We identified it
Jun 19, 2026
Summary
BCBSRI announces their new Congestive Heart Failure (CHF) Care Management Program launched in late 2023, currently available for Medicare Advantage members with plans to expand to commercial plans. This is an informational update about existing care management services, not a billing policy change.
Action Required
No immediate action required for billing team. This is informational about BCBSRI's CHF care management program. Monitor for future updates when the program expands to commercial plans, which may introduce new prior authorization or documentation requirements.