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BCBSRI has insourced behavioral health utilization and case management functions

Blue Cross Blue Shield of Rhode Island·RI · Psychiatry, Emergency Medicine·Behavioral Health / Facility
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI has moved behavioral health utilization and case management functions from Beacon Health Options to in-house operations. Hospitals and behavioral health facilities must now submit admission and discharge notifications through the MHK system instead of Beacon's previous system.

Action Required

Action needed
Immediately: Behavioral health facilities and hospitals must transition from Beacon Health Options system to MHK system for all behavioral health admission and discharge notifications. Contact ProviderRelations@bcbsri.org to obtain MHK username and access credentials. Update staff workflows to use new notification system for all BCBSRI behavioral health cases.