Blue Review
A Medicaid Provider Newsletter

September 2016

Upcoming Provider Trainings

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.

New! If you’re not able to attend any of the trainings below, the STAR Kids Provider Training is available for completion via Brainshark – at your own pace, date and time.

STAR Kids Provider Training
Sept. 13, 2016 (Webinar)
Noon – 2 p.m.
RSVP deadline: Sept. 12 at noon

RSVP

STAR Kids Provider Training
Sept. 20, 2016 (Webinar)
Noon – 2 p.m.
RSVP deadline: Sept. 19 at noon

RSVP

STAR Kids Provider Training
Sept. 22, 2016 (Travis Service Area)
Joe’s Crab Shack
600 E. Riverside Dr.
Austin, TX 78704
Noon – 2 p.m.
RSVP deadline: Sept. 20 at 5 p.m.

RSVP

Beginning Oct. 1, 2016, Taxonomy Numbers Are Required on All Claim Submissions

Learn about the new taxonomy number requirements for the CMS-1500 and UB-04 forms. Our mailing, and complaints and appeals addresses are included.

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Sterilization Consent Form Requirements Changes Effective Sept. 1

Read up on the changes to the Sterilization Consent form that took effect on Sept. 1.

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Notice to Pharmacies: Mosquito Repellent Benefit

Texas now covers mosquito repellents for the prevention of the Zika virus. The following article describes claims processing, eligibility and benefit information specific to the mosquito repellent benefit.

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Long-acting Reversible Contraceptives (LARC)

Access resources on the BCBSTX website that aim to help providers increase the availability of LARCs to all Texas women.

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Texas Health Steps – History in the Making

Exam history is a component that is necessary to be compliant with Texas Health Steps, and HEDIS standards. If you need a refresher course or information regarding Texas Health Steps, you can access free THSteps continuing education.

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Reminders from the August Newsletter

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, Monday - Friday, 8 a.m. - 8 p.m. CT

For general questions and concerns, contact the BCBSTX Medicaid Provider Network Management department:
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.