CommercialPrior AuthMedium impact
New State of Rhode Island plan coming in January
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
BCBSRI is launching the Anchor Plan for all State of Rhode Island employees effective January 1, 2020. This plan requires PCP referrals for most specialist visits, with higher copays applied when referrals are not obtained (though services remain covered).
Action Required
Before January 1, 2020: Front desk staff must verify if patients are Rhode Island state employees on the Anchor Plan and confirm PCP referrals are obtained before specialist appointments. Billing team should update patient registration process to identify Anchor Plan members. Use existing BCBSRI referral processes through HealthTrio or online forms. Inform patients that missing referrals will result in higher copays.