Medicare AdvantagePrior AuthMedium impact
BCBSRI suspending prior authorizations for Skilled Nursing admission ONLY effective 1/6/23-3/31/23
Blue Cross Blue Shield of Rhode Island·RI·Physician / Facility
Effective date
Jan 6, 2023
We identified it
Jun 19, 2026
Summary
BCBSRI is temporarily suspending prior authorization requirements for skilled nursing facility admissions from January 6, 2023 through March 31, 2023 for Medicare Advantage and most other products (except Federal Employee Program). Facilities must still notify utilization management within 3 days of admission and continue concurrent stay reviews.
Action Required
Immediately through March 31, 2023: For BCBSRI Medicare Advantage and commercial members (except FEP), stop obtaining prior authorization for skilled nursing admissions. However, facilities must fax admission notification and clinical documentation to (401) 459-1623 by day 3 of admission. Continue performing concurrent stay reviews as required. Contact SNF UM team at (401) 459-1000 ext. 3364 with questions.