The procedures or services on the lists below may require prior authorization or prenotification by BCBSTX Medical Management or other designated vendor for certain designated groups.
- These lists are not exhaustive.
- The presence of codes on these lists does not necessarily indicate coverage under the member/participant’s benefits contract.
- Consult Availity® or your preferred vendor for eligibility and benefits, the member/participant benefit booklet or contact a customer service representative to determine coverage for a specific medical service or supply.
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Employees Retirement System of Texas (ERS) Prior Authorizations
Important Notice
Prior Authorization Update:
- Prior Authorization Update Notice for HealthSelect Network Providers Effective Jan.1, 2023
- Medical Oncology Prior Authorizations Transition to AIM Specialty Health® for Employees Retirement System of Texas (ERS) effective Sept. 1, 2022
- HealthSelect of Texas® Prior Authorization Removals as of 9/1/2021 -12/31/2022 -Refer to HealthSelect of Texas® Prior Authorization Procedure Code Update for more information on this change.
ERS Consumer Directed HealthSelectSM In-Area (Texas)
Effective 01/01/2023:
Effective 09/01/2022:
- ERS Consumer Directed HealthSelectSM (In Texas) Prior Authorization & Referral Requirements List 9/1/2022
- See also ERS Specialty Drug list below
Effective 9/1/2020 - 08/31/2022:
ERS HealthSelect of Texas® In-Area (Texas)
Effective 01/01/2023:
Effective 09/01/2022
- ERS HealthSelect of Texas® (In-Texas) Prior Authorization & Referral Requirements List – 9/1/2022
- See also ERS Specialty Drug list below
Effective 9/1/2020 - 08/31/2022:
ERS HealthSelect of Texas® & Consumer Directed HealthSelectSM Out-Of-State
Effective 01/01/2023:
Effective 09/1/2022
- ERS HealthSelect of Texas® & Consumer Directed HealthSelectSM Out-Of-State Prior Authorization & Referral Requirements List – 9/1/2022
- See also ERS Specialty Drug list below
Effective 9/1/2020 -08/31/2022
ERS Specialty Drug List
Effective 9/1/2021 (includes updates effective 09/01/2022):
Effective 9/1/2017 - 08/31/2021: