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Updated access to care standards for PCP’s and behavioral health providers
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Pediatrics +2 more·Provider Update
Effective date
Dec 1, 2023
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has updated access to care standards for primary care providers (PCPs) and behavioral health providers, defining PCP qualifications and coordination responsibilities. The policy clarifies that PCPs must be board-certified physicians in internal medicine, pediatrics, or family medicine, or qualified nurse practitioners, physician assistants, and some Ob/Gyns providing primary care services.
Action Required
Review updated access to care standards to ensure proper provider credentialing and referral coordination processes align with BCBS Rhode Island requirements. Verify that primary care providers meet the updated qualification standards for network participation.