Leading Stories, Articles

Market conduct review leads to new fund to supplement behavioral health care system in RI

By Janine Weisman

Blue Cross Blue Shield Rhode Island stopped requiring prior approval for in-network mental health or substance use disorder services on Aug. 1, a move the state’s largest health insurer said was part of a larger focus on improving access to care. Out-of-network services will still be subject to what’s known as utilization review for behavioral health services. But left out of the BCBSRI news release when this policy change was initially announced last May was the fact that the discontinuation of the process known as utilization review came about during discussions with state regulators. That’s after examiners from the Rhode [More]

Tags: prescription drugs, behavioral health, Blue Cross Blue Shield Rhode Island, BCBSRI, prior authorization, state regulators, substance use disorder services, Out-of-network services, deficiencies, reviews of coverage
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