Blue Review
A newsletter for Medicaid providers

June 2018

Hot Topics

EVV Process Transitioning to DataLogic

As a reminder, the Health and Human Services Commission’s (HHSC) contract with MEDsys will expire Nov. 6, 2018, and will not be renewed. If you use Electronic Visit Verification (EVV), make sure to review recent HHSC notifications about the transition timeline of MEDSys to DataLogic, and provider stakeholder meetings. Also, as of May 1, electronic small alternative devices can be ordered as part of this transition. Please visit Blue Cross and Blue Shield of Texas’ (BCBSTX) EVV web page for more information. If you have questions, you can email Electronic_Visit_Verification@hhsc.state.tx.us.

Focus on Behavioral Health

June Is Post-traumatic Stress Disorder (PTSD) Awareness Month

As you know, PTSD is an anxiety disorder that can be triggered after going through, or seeing, a traumatic event. Access a Magellean Healthcare® toolkit and patient handout to learn more about PTSD symptoms and treatment options.

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Free Two-day Training Opportunity in Austin, TX: The Road to Recovery from Trauma

Support children with intellectual and developmental disabilities who have experienced trauma. Attendees will learn how to support children’s safety, well-being and recovery through trauma-informed practices.

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Featured Tip

How to Keep the Cash Flowing: Review Sample Claim Forms to Ensure Accurate Submissions

We’re continuing our new series of articles on ways to get paid quickly and efficiently. Monthly topics will focus on how to prevent delayed payments such as: keeping your information updated, reducing inaccurate claim submissions, and submitting claims and repeals on time. This month we’re encouraging you to review sample claim forms from the Texas Medicaid & Healthcare Partnership to make sure your claims are being submitted correctly. Claims accuracy is the first step to getting paid quickly!

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Education & Reference

Essential Aspects of Texas Health Steps (THSteps) and Well-child Exams

Review the required components that must be done during all THSteps and well-child exams.

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Before and After Care for Pregnant Patients

In an effort to improve infant mortality rates in Texas and the U.S., BCBSTX recommends following the HEDIS® guidelines for prenatal and postpartum care to ensure your patients receive timely, appropriate care.

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June Is Male Health Awareness Month

Early education about preventable diseases is key to early detection and treatment. Talk with your male patients about their health, and stress the importance of attending annual well checkups.

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Health & Wellness

Health Tips to Share

Help your patients live a healthier life by sharing relevant wellness information with them. You can print individual articles, or point your patients to the websites so they can review topics that interest them. Anyone can access the websites; no login required.

LifeTimesBCBSTX’s LifeTimes website has many articles on a range of topics including: bone and joint health, cancer, diabetes, general health, and heart and lung health. Spanish content is available.

ConnectConnect invites users to get answers, share information and gain knowledge on topics like well-being and health coverage through blogs, videos and downloadable content. Participants can create a profile and like posts, add their opinions in the comments and subscribe to content they’re interested in. Spanish content is available.

Have You Updated Your Provider Information?

Visit the BCBSTX provider website to update any changes to your address, telephone number, group affiliation, and/or any other material facts via the Provider Data Update Notification form. Also, update your information with Texas Medicaid & Healthcare Partnership via their Provider Information Change form.

News & Updates

For the most up-to-date information, view the News & Updates section of the BCBSTX provider website.

Link to BCBSTX Medicaid Website

On this website, you will find links to the provider manual, Quick Reference Guide, services requiring prior authorization and other useful information.

Contact Us

Eligibility, Benefits, Provider Network Referrals and Claim Status
Medicaid (STAR) and CHIP Customer Service: 1-877-560-8055, Monday - Friday, 8 a.m. - 8 p.m. CT
STAR Kids Customer Service: 1-877-784-6802, Monday - Friday, 8 a.m. - 8 p.m. CT

For general questions and concerns:
Email: TexasMedicaidNetworkDepartment@bcbstx.com
Phone: 1-855-212-1615
Fax: 1-512-349-4848

For member outreach inquiries, BCBSTX’s Medicaid (STAR), STAR Kids and CHIP members may contact Zenaida Martinez Nava, Senior Outreach Specialist/Member Advocate at 1-512-349-4880. If the member is unable to reach Sonia, please contact Maria Izquierdo at 1-512-349-4887.

For BCBSTX Medicaid (STAR), STAR Kids and CHIP quality inquiries, please contact Kathleen Thompson, Manager Medicaid Quality, at 1-512-349-4836.

For Electronic Visit Verification questions, please email BCBSTX_EVV_Questions@bcbstx.com.