BCBSRI

BCBSRI resources | PAC-IM

Please find important announcements, documents, and forms listed below for this delegation.

We want to hear from you!

Share your skilled nursing facility’s strengths and capabilities to help us improve patient care.

A quick survey. Real impact. Better care coordination and outcomes.

Take the survey now!

Current announcements

Effective May 1, 2026, Carelon began operating seven days a week to support BCBSRI Medicare Advantage members. Providers can access the NOMNC issuance guide to assist their teams by clicking here.

Training:
For access to the provider orientation, click here.

Contact:
Email us with questions related to this delegation.

Provider information form

PAC-IM Facilities (SNF, IRF, LTACH only): Please ensure you are registering for the portal under the “Post-Acute Facility” option. If your facility information is not available in the Carelon portal, please complete the “Provider information form” found online here.

Authorization program materials

Fax confirmation form: Online form providers use to confirm their fax numbers for authorization requests

Fax request forms

Initial and continued stay request fax forms can be found below by setting type:

Fax forms for Skilled Nursing Facilities (SNF):
SNF initial request form
SNF continued stay request form

Fax forms for inpatient rehabilitation facilities (IRF):
IRF initial request form
IRF continued stay request form

Fax forms for Long-Term Acute Care Hospitals (LTACH):
LTACH initial request form
LTACH continued stay request form