Deadline Approaching: Avoid Medicaid Provider Disenrollment
As a requirement of the Patient Protection and Affordable Care Act (PPACA), state Medicaid agencies must revalidate the enrollment of all providers in state Medicaid programs. The revalidation deadline has been extended to Sept. 24, 2016. Online access is included.
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72-Hour Emergency Prescription Supply
A 72-hour emergency supply of a prescribed drug must be provided when a medication is needed without delay and prior authorization (PA) is not available. This applies to all drugs requiring PA, either because they are non-preferred drugs on the Preferred Drug List or because they are subject to clinical edits. Learn how to be reimbursed for a 72-hour emergency prescription supply.
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Preferred Drug List
A Formulary lists the brand or generic name of a given drug. If a medication does not appear on the Formulary, the medication is not covered under the pharmacy benefit. In some instances, a medication may require a prior authorization. The Formulary is searchable online.
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Medicaid Non-Emergency Transportation
The Texas Medical Transportation Program provides non-emergency transportation to Medicaid-eligible members who need help getting to medical appointments, dental appointments and the pharmacy. Learn what information members must provide to use this service, how to obtain transportation, and descriptions of routine and special transportation that’s available to members.
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THSteps: Anticipatory Guidance
Anticipatory guidance is a federally mandated component of the THSteps medical checkup, and includes health education and counseling; health education and counseling are required. Examples of health topics are included.
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News and Updates
For the most up-to-date information, view the News & Updates section of the BCBSTX provider website
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