Who is affected by this change?

This affects Blue Cross Blue Shield of Rhode Island General Surgery, Gastroenterology providers in RI on All Plans plans.

When does this change take effect?

This change is effective Jun 1, 2022.

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All PlansCoverageLow impact

New policies

Blue Cross Blue Shield of Rhode Island·RI · General Surgery, Gastroenterology·Physician / Facility

Effective date

Jun 1, 2022

We identified it

Jun 19, 2026

Days to comply

—

Summary

BCBS Rhode Island created a new medical policy for Plugs for Anal Fistula Repair effective June 1, 2022. This establishes coverage criteria and requirements for anal fistula plug procedures that providers must follow when billing for these services.

Action Required

Action needed

By June 1, 2022: Review the full policy text on bcbsri.com under Medical Policy heading to understand coverage criteria for anal fistula plug procedures. Update prior authorization processes and documentation requirements according to the new policy guidelines.

Related policy hubs

Blue Cross Blue Shield of Rhode Island policies RI policy changes General Surgery Gastroenterology