Fee Schedule Update for ParPlan, BlueChoice® and HMO Blue® Texas Practitioners

The ParPlan, BlueChoice® and HMO Blue® Texas (Independent Provider Network & THE Limited Provider Network only) maximum allowable fees for practitioners will be updated to reflect 2010 relative values effective July 1, 2010. Geographic Practice Cost Indices (GPCIs) will not be applied to the relative values so the relative values will not differ by Medicare locality. HMO Blue Texas, BlueChoice, and ParPlan relative values will consider the site of service where the service is performed (facility or non-facility). A "per operative session" methodology for Multiple Surgery Pricing will be implemented for BlueChoice, HMO Blue Texas and ParPlan effective 7/1/2010. The Drug/Injectable Fee Schedule will be updated on the following dates: 6/1/2010, 9/1/2010, 12/1/2010, 3/1/2011 and 6/1/2011.

Blue Cross and Blue Shield of Texas provides general reimbursement information policies, a professional fee schedule online request form for allowable fees, and other fee schedule information at www.bcbstx.com/provider. To view this information, visit the General Reimbursement Information section on this Web site.

Reimbursement changes will be posted under "Reimbursement Changes and Updates" in the Professional Reimbursement Schedules section on the Web site. The changes will not become effective until at least 90 days from the posting date. The specific effective date will be noted for each change that is posted.

If you have any questions, please contact your local Professional Provider Network office.