CommercialAdministrativeMedium impact
BCBSRI MHK Provider Portal updates
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Sep 1, 2022
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island updated their MHK provider portal requirements for prior authorizations. Key changes include: facilities should not enter 'Facility Provider' for outpatient requests, providers must select 'Par' status for auto-approval, account sharing is prohibited, and providers with incorrect submissions must attend mandatory retraining or face account deactivation.
Action Required
Immediately: Update prior authorization workflow to exclude 'Facility Provider' field for outpatient requests - enter facility as requesting provider instead. Always select 'Par' provider status when available for auto-approval. Stop sharing BCBSRI.com accounts and set up separate accounts for each user. Staff who received retraining emails must attend training sessions to avoid account deactivation.