August 2016

Upcoming STAR Kids Provider Training

We invite you to participate in upcoming STAR Kids provider trainings. Our trainings provide information and resources to fully engage our provider community with STAR Kids. The training schedule is below, and we ask that you RSVP by the deadline

STAR Kids Provider Training
Aug. 18, 2016 (Travis Service Area)
The EGG & I
2525 W. Anderson Ln., Bldg. 3
SW Corner at Burnet Rd.
Austin, TX 78757
RSVP deadline: Aug. 15 at 5 p.m.

RSVP

STAR Kids Provider Training
Aug. 23, 2016 (Webinar)
RSVP deadline: Aug. 22 at noon (12 p.m.)

RSVP

STAR Kids Provider Training
Aug. 25, 2016 (MRSA Central)
La Fiesta Restaurant & Cantina
3815 Franklin Ave
Waco, TX 76710
RSVP deadline: Aug. 22 at 5 p.m.

RSVP

Reminder: 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.

Cultural Competency Plan

As part of our cultural competency plan, BCBSTX provides access to interpreter services for our members. Interpreter services include a Language Line and video capabilities.

Primary Care Provider (PCP) Requirements for Behavioral Health Services

Learn about the requirements for behavioral health services that PCPs and behavioral health providers should follow.

Long-Acting Reversible Contraceptives (LARC)

Learn about LARC and access resources that aim at helping providers increase the availability of LARCs to all Texas women.

July 2016 Semi-annual Update to Medicaid Preferred Drug List

Effective July 21, 2016, Texas Medicaid implemented the semi-annual update of the Medicaid Preferred Drug List (PDL). The update is based on changes presented at the January 2016 Pharmaceutical and Therapeutics Committee meeting, and the April 2016 Drug Utilization Review Board meeting. Drugs listed on the PDL as “preferred” are not subject to PDL prior authorization. Not all drugs on the Texas Medicaid formulary are listed on the PDL documents and therefore are not subject to PDL prior authorizations. For this update of the PDL, no new classes were reviewed. The PDL Criteria Guide (PDF) was updated by July 15, 2016.

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

Provider Customer Service: 877-560-8055, 8 a.m. - 8 p.m. CT, M-F

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

For Member Outreach Inquiries, BCBSTX Medicaid (STAR) and CHIP members may contact Sonia Saenz, Senior Outreach Specialist/Member Advocate, sonia_saenz@bcbstx.com, 512-349-4883. If the member is unable to reach Sonia, please contact Consuelo Izquierdo, chelo_izquierdo@bcbstx.com, 512-349-4887.

For BCBSTX Medicaid (STAR) and CHIP Quality Inquiries, please contact Kathleen Thompson, Manager Medicaid Quality, kathleen_thompson@bcbstx.com, 512-349-4836.