November 2017

Provider Manual Update

Blue Cross and Blue Shield of Texas (BCBSTX) makes periodic updates and clarifications related to operational changes and regulatory mandates to the provider manual, as well as the processes, policies and procedures that you comply with as a network provider. It is important that you stay up-to-date, so we share these changes in our monthly Blue Review newsletter, in the News and Updates and/or the Standards & Requirements/Disclosures sections of the BCBSTX provider website. These changes may also be communicated via mail.

New Addition
We added section M to our Blue Essentials^SM, Blue Advantage HMO^SM and Blue Premier^SM Provider Manual, which is for the Employee Retirement System of Texas (ERS) Participants Benefit Plan using the Blue Essentials^SM Network. This is an additional resource designated to assist you with ERS HealthSelect^SM and Consumer Directed HealthSelect^SM participants who became eligible with BCBSTX on Sept. 1, 2017.

We will continue providing disclosures on our website and in future issues of Blue Review. We encourage you to review both resources as you provide care to your patients. As a provider, it is your responsibility to review and comply with these changes.

If you have any questions, please contact your Network Management office.