You are invited to participate in upcoming provider training webinars. Our webinars provide information and resources to fully engage our provider community. The webinar schedule is below, and we ask that you RSVP by the deadline.
Note: If you’re not able to attend any of the trainings below, they are available for completion via Brainshark – at your own pace, date and time.
Access the all the information you need to make successful claims submissions – whether electronically or by paper form. Alpha prefixes, mailing addresses, appeals information and more are included.
Mental Health Screening Procedure Code 99420 Discontinued
Two new procedure codes for mental health screenings have replaced code 99420. Learn about the functions of these two new codes that went into effect on Jan. 1, 2017.
New Year, New Nutrition Education Opportunities for Members!
Check out the updates to the Body Mass Index (BMI) and nutrition screening components of the Texas Health Steps exam provided by the Texas Health and Human Services Commission. Consider using this new year to assess your patients’ nutritional foundation and knowledge, which can lead to discussions about health and nutrition improvement.
Free Online Continuing Education Courses by the Department of State Health Services
Texas Health Steps' 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. Choose from more than 50 CE-accredited courses on pediatric and adolescent health-care topics. Find a course.
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.
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_thompson@bcbstx.com, 512-349-4836.
Claims & Eligibility