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Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island updated their 2022 PCP Quality Incentive Program with new measures including Adolescent Well-Care Visits (ages 12-21) and removed Weight Assessment/Nutrition measures. Lead screening was added as a standalone bonus measure, and diabetes care measures were renamed for NCQA alignment.
Action Required
Billing team should ensure proper coding for adolescent well-care visits (ages 12-21) using the specified CPT, HCPCS, and ICD-10 codes to support quality measure reporting. Update encounter forms and EMR templates to capture adolescent preventive visits with appropriate codes. Review current lead screening documentation processes for the new standalone bonus measure.