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CommercialCoverageMedium impact

Preventive services for commercial members

Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +3 more·Physician / Facility
Effective date
Jul 1, 2020
We identified it
Jun 19, 2026
Days to comply

Summary

BCBS Rhode Island has added coverage for three new preventive services for commercial members: Unhealthy Drug Use Screening, Screening for Anxiety, and HIV Prevention (Preexposure Prophylaxis). These services are now covered preventive benefits with no cost-sharing for commercial plan members.

Action Required

Action needed
Immediately: Billing team should verify current preventive service billing practices include these newly covered services. Update encounter forms and provider documentation to reflect that Unhealthy Drug Use Screening, Anxiety Screening, and HIV PrEP counseling are covered preventive services for commercial members with no patient cost-sharing. Contact BCBS RI for specific CPT codes and billing guidelines for these services.