Become a BCBSTX HealthSelect of Texas provider today!

A newsletter for physician, professional, facility, ancillary and Medicaid providers

August 2017

Medicaid

Monthly News for Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid (STAR), STAR Kids & CHIP Providers

Read this month’s Medicaid newsletter to learn about changes to HHSC physical, occupational and speech therapy benefits, revisions to EVV Reason Code 305, missed appointment tracking and more.

Notices & Announcements

Become a HealthSelect^SM of Texas Provider Today

ERS participants in the HealthSelect POS plan receive maximum benefits when care is provided or directed by an in-network PCP. To continue providing care to your ERS participants, we hope you will participate in our customized HealthSelect network. Please contact your local Network Management office to obtain an agreement to be a BCBSTX HealthSelect provider.

Fee Schedule Updates Effective Oct. 1

Review the upcoming changes that will impact Blue Choice PPO^SM, Blue Essentials^SM, Blue Premier^SM, Blue Advantage HMO^SM and ParPlan effective Oct. 1, 2017.

Reminder

BCBSTX New Employer Group Plan – Employees Retirement System of Texas (ERS) Effective Sept. 1, 2017

Network Participation

Reminder

2017 Blue Essentials Benefit Option Highlights

Claims & Eligibility

New EFT and ERA Information Available Online

Visit the BCBSTX provider website for updated information on Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), including online enrollment tip sheets and links to 835 Companion Guides.

EFT and ERA Update for Non-contracted Blue Cross Medicare Advantage Plan Providers

Since July 24, 2017, all providers who are enrolled in EFT and ERA will begin receiving EFTs and ERAs for Blue Cross Medicare Advantage (PPO)^SM and Blue Cross Medicare Advantage (HMO)^SM member claims.

Reminders

Education & Reference

Reminder

The Keys to Unlocking a Great Discharge Summary

Clinical Resources

Reminders

In Every Issue

BCBSTX is required to provide certain notices in all published correspondence with physicians, professional providers, and facility and ancillary providers. For the latest updates, visit the News and Updates area of the BCBSTX provider website. Access this month’s articles.

Printable PDF

View a printable PDF of the non-Medicaid information in this newsletter.

Contact Us

View our quick directory of contacts for BCBSTX.

Update Your Information

Do you need to update your location, phone number, email or other important details on file with BCBSTX? Use our online forms to request information changes.

bcbstx.com/provider

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association

1001 E. Lookout Drive, Richardson, TX 75082

Important Information