You can now use Pediatric Symptom Checklist-17 (PSC-17) when you’re performing required mental health screenings for members who are 12 to 18 years of age during a THSteps checkup.
There are six checkup components that must be completed and clearly documented in medical records in order to get reimbursed. HHSC would like to assist you in documenting all required components and elements of the THSteps checkups to reflect the work performed to complete each checkup.
Free Online Continuing Education Courses from the Department of State Health Services
THSteps' award-winning online program offers FREE continuing education courses for primary care providers and other health professionals. These courses offer updated clinical, regulatory and best practice guidelines for a range of preventive health, oral health, mental health and case management topics.
Health & Wellness
Reminder: Synagis Season Is Here
Respiratory Syncytial Virus (RSV) season is here. For the 2016-17 season, BCBSTX Medicaid and CHIP will be following the schedule recommendations of the Texas Pediatric Society (TPS) Infectious Disease Committee/RSV Task Group, which are the 2014 American Academy of Pediatrics (AAP) recommendations. The Task Group has reviewed more than 10 years of epidemiologic data and recommends the period for prophylaxis in the Travis and the Central MRSA service areas to be from Oct. 15, 2016, to March, 15 2017, using the 2014 AAP recommendations. As we will allow a maximum of five injections of Synagis during the season, it is important to be aware of the current epidemiology. The TPS information and epidemiologic updates are available on the TPS website.
Education Opportunities
Long-acting Reversible Contraceptive (LARC) Course Available for Providers
HHSC has released a web-based "quick course" for providers about LARC. This short course explains why and how to integrate LARC into routine clinical practice. Access the course.
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 (TMHP) 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.
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_m_thompson@bcbstx.com, 512-349-4836.
Texas Health Steps (THSteps)