Blue Cross Blue Shield of Texas - Disclosure Notices

Disclosure Notices

New Exclusive HMO and Preferred Statewide PPO/POS Clinical Reference Lab Provider Effective June 1, 2010

Code Auditing & Modifier 59 Exempt Auditing

Quarterly Drug & Home Infusion Drug Fee Schedule Updates effective 6/1/10 have been posted under Reimbursement Schedules as of 3/1/10

Change to HMO Blue Texas Oupatient Clinical Reference Lab Services Effective June 1, 2010

Evidence Based Reimbursement

Fee Schedule Update

Disclosure Notices

Blue Cross and Blue Shield of Texas (BCBSTX) uses the BCBSTX Provider Web site to publish disclosure notices. The Web site allows BCBSTX to disclose changes in a timely and comprehensive manner.

Disclosure notices are posted 90 days in advance of the effective date of the change.

Disclosure notices can include but are not limited to fee schedule updates & reimbursement policies, provider manuals and/or benefit and medical policy changes which may impact claim payments.

If you need assistance accessing this information on the BCBSTX Provider Web site, please contact your local Professional Provider Network or Facility Provider Network office.

Notice	Posted	Effective
New Exclusive HMO and Preferred Statewide PPO/POS Clinical Reference Lab Provider Effective June 1, 2010	3/16/10	6/1/10
Code Auditing & Modifier 59 Exempt Auditing	3/16/10	6/14/10
Quarterly update for the Drug Fee Schedule has been posted to the Professional Reimbursement Schedule site	3/1/10	6/1/10
Quarterly update for the Home Infusion Therapy Drug Schedule has been posted to the Ancillary Reimbursement Schedule site	3/1/10	6/1/10
Change to HMO Blue Texas Outpatient Clinical Reference Lab Services Effective June 1, 2010	2/19/10	6/1/10
Evidence Based Reimbursement	11/15/09	12/15/09
Change to HMO Blue® Texas Outpatient Clinical Reference Lab Services Effective November 1, 2009	07/14/09	11/01/09
Fee Schedule Update	05/15/09	08/15/09
Are You Billing for Compound Drugs?	05/15/09	08/15/09
CPT Code S9088 - Urgent Care Center Services	11/26/08	03/01/09
Change to the HMO Blue Texas Outpatient Clinical Reference Lab Services	08/22/08	12/01/08
Six Counties Added to AIM's Preauthorization Program	07/30/07	11/01/07
Change to Services Requiring HMO Blue Texas Preauthorization	06/18/07	06/25/07
Milliman Care Guidelines®	02/06/07	06/25/07