November 15, 2022
Reminder:
Blue Cross and Blue Shield of Texas (BCBSTX) reminds you that effective September 21, 2022, signature requirements for Title XIX for home health services rules have changed.
What services are covered
Medicaid-enrolled physicians and allowed practitioners can now sign prior authorizations and order for covered Medicaid Home Health Services, which includes:
- Skilled nursing
- Home health aide services
- Durable medical equipment and supplies
- Adult physical and occupational therapy services
Allowed Practitioners
- The allowed practitioner includes the following:
- Physician Assistant (PA)
- Advance practice registered nurse (a certified nurse practitioner (CNP) who is licensed)
- Clinical nurse specialist (CNS)
Note: When submitting prior authorizations, the ordering or prescribing PA, CNP, or CNS must include their own National Provider Identifier (NPI) in the request, not the group’s or physician’s NPI. Prior authorizations without the correct NPI will be returned as incomplete.
For additional information please see refer to Texas Medicaid and Healthcare Partnership (TMHP) website
Resources
eCFR :: 42 CFR 440.70 -- Home health services.
Questions
Providers, for questions or additional information, please:
- Contact your BCBSTX Medicaid Network team at 1-855-212-1615 or
- Submit via email to Texas Medicaid Network Department