Reimbursement Increase


Effective August 1, 2022, Blue Cross and Blue Shield of Texas (BCBSTX) increased the maximum allowable standard fee schedule reimbursement for the following specialties for commercial members in certain networks*.

*Does not apply to Blue Advantage HMOSM, MyBlue HealthSM, BCBSTX Medicare Advantage or Medicaid networks administered by Magellan Healthcare®

Provider Specialties Included:

Board Certified Assistant Behavior Analyst

Licensed Behavioral Practitioner

Licensed Marriage/Family Therapy

Board Certified Behavior Analyst

Licensed Chemical Dependency Counselor

Licensed Psychological Associate

Board Certified Behavior Analyst- Doctoral

Licenses Clinical Professional Counselor

Social Worker

Licensed Alcohol and Drug Counselor

Licenses Clinical Social Worker


What’s Changed?

Only eligible services with a Relative Value Unit (RVU) for procedures or services that are identified on the Reimbursement and Schedules and Related Information (Secure Content) area of the General Reimbursement Information page.

Note: To enter the "Secure Content" area of the General Reimbursement Information section of the provider website, requires you to obtain the password from your Network Management Office. This is area is only available to participating providers

More Information
To determine if the increase applies to the services you perform, participating providers may use the Fee Schedule Viewer tool via Availity® Essentials and electronically receive the incentive price allowance, as applicable, for up to 20 procedure codes at a time. 

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.