Disclosure Notices



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Blue Cross and Blue Shield of Texas (BCBSTX) uses the BCBSTX Provider website to publish disclosure notices. The website 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 and 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 website, please contact your Network Management office.




NoticePostedEffective

Urinary Drug Test (UDT) Fee Schedule Update

10/25/16 02/01/17

Physician Payment Policies for Members enrolled in Blue Cross Medicare Advantage HMOSM and Blue Cross Medicare Advantage PPOSM

10/25/16 02/01/17

Applied Behavioral Analysis Fee Schedule Update

10/17/16 01/01/17

Update to After-Hours and Weekend Care Codes Payment Policy

10/12/16

01/01/17

Announcing Changes that Will Affect Claims Submissions for Medicare Advantage Plans

09/30/16

01/01/17

2017 Updates to the Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM Preauthorization Lists

09/29/16

01/01/17

Update to Blue Advantage HMOSM and Blue Advantage PlusSM HMO Preauthorization/Referral List – Preauthorization Required for Specific Outpatient Surgeries

09/28/16

01/01/17

Announcing a New Change for Rehabilitative and Habilitative Services for Members Enrolled in Qualified Health Plans under the Affordable Care Act

09/28/16

01/01/17

New Preauthorization Requirement for Applied Behavior Analysis for BCBSTX Members Enrolled in Blue Choice PPOSM

09/28/16

01/01/17

Notification for Inpatient Admission for Post Stabilization Care Required Within One Business Day

09/27/16

01/01/17

New Preauthorization Requirements through eviCore

06/28/16

10/03/16

ClaimsXtenTM New Specialty Pharmacy Rule – Notification of Postponement

06/01/16

08/15/16

ClaimsXtenTM Outpatient Facility Rules: Notice of Postponement for BlueCard® Host

05/24/16

07/18/16

ClaimsXtenTM 2nd Quarter 2016 Updates and New Specialty Pharmacy Rule Notification

04/18/16

07/18/16

Enroll in Medicare as a Provider with CMS

02/01/16

06/1/16


NoticePostedEffective

CPT Code 55250

02/19/13

11/01/12

Billing with National Drug Codes (NDCs) 

10/04/12

Delayed until further notice

Modifier Reimbursement Changes 

7/30/12

11/01/12

Fee Schedule Update

7/26/12

11/01/12

Billing with National Drug Codes (NDCs)

4/13/12

7/15/12

Code Auditing Update

2/7/12

5/7/12